Billing > Billing

Timely Filing for Patient?

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dfranklin:
Is there a timely filing limit for billing the patient?

If we have claims from say 7/1/08 that were denied by the carrier due to past the timely filing limits, can we bill the patient for the full amount?

I recently picked up a client that their previous biller did not bill a lot of claims. I have tried to get them paid but the ones that are denying can we make patient responsibility?

Michele:
The laws vary state to state so you need to check your state laws.  However, if the provider is in network with the insurance carrier then it is against his contract to bill the patient if the claims were denied for timely filing.  I know I would be a very unhappy patient if I got a bill because my doctor's office didn't file the claim in time.  The dr needs to consider that before making all of his patients pay (literally) for his billers negligence.

Michele

Anand:

--- Quote from: Michele on December 02, 2009, 12:20:52 PM ---The laws vary state to state so you need to check your state laws.  However, if the provider is in network with the insurance carrier then it is against his contract to bill the patient if the claims were denied for timely filing.  I know I would be a very unhappy patient if I got a bill because my doctor's office didn't file the claim in time.  The dr needs to consider that before making all of his patients pay (literally) for his billers negligence.

Michele


--- End quote ---

I agree with Michele here.. I would also suggest to coordinate with the Dr on this regard...

dfranklin:
I will have to get back to him as he was the one that was asking me if we could still bill these patients.  I will tell him that we have to check the laws in Pennsylvania.  Since he is aksing me I presume he wants to bill the patients (they probably for the most part are no longer current patients, so he is trying to recover what he can), but he was not sure if we could or not. 

Do you know where I can go to check on the laws for him or should I leave it up to him to research and decide as he would ultimately be the one responsible correct?

Anand:

--- Quote from: dfranklin on December 03, 2009, 09:16:23 AM ---I will have to get back to him as he was the one that was asking me if we could still bill these patients.  I will tell him that we have to check the laws in Pennsylvania.  Since he is aksing me I presume he wants to bill the patients (they probably for the most part are no longer current patients, so he is trying to recover what he can), but he was not sure if we could or not. 

Do you know where I can go to check on the laws for him or should I leave it up to him to research and decide as he would ultimately be the one responsible correct?

--- End quote ---
Well in a broader prespective YES, however we got to check the state law, if it permits - I would bill the patient. I really dont think of any certainity that patient would pay for the bills which are pretty old and moreover its due to the negligence but as you mentioned we can try to collect as much as we can the rest should go to proivders. :(. I would also try to work on some discounts and budget payment methodology..

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