Billing > Billing
out-of-network billing
blhoffman:
Thanks Michelle!
That is correct. Be sure to ask what insurance they have and very benefits for OON before service.
Don't forget to COLLECT UP FRONT!! ;D
ssherman:
Billing out of network, the client receives more money.
Out of network means there is no agreement on the price paid for services rendered. Let the physician know that she should take a look at her fee schedule *first*, make any necessary adjustments, and then address protocol (as mentioned) for financial counseling for patients responsibility.
Pay_My_Claims:
the client receives more money????? client as in the provider??
ssherman:
Apologies!
The provider sees higher reimbursement at the cost of time/complexity. Billing in-network is pretty fast and straightforward (you are really enforcing pre-negotiated prices). However, out of network, you get to negotiate (within reason) on the value of services rendered.
Pay_My_Claims:
--- Quote from: ssherman on April 26, 2010, 10:23:38 PM ---Apologies!
The provider sees higher reimbursement at the cost of time/complexity. Billing in-network is pretty fast and straightforward (you are really enforcing pre-negotiated prices). However, out of network, you get to negotiate (within reason) on the value of services rendered.
--- End quote ---
YEAH they negotiate, but they don't pay more than they would in network!!
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