Payments > Patient Billing

OON question

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Anne:
I really didn't think we are doing anything fraudulant - it was just surprising to hear that someone suggested that.  Anyway,  my REAL question in the first place was about charging a patient (one that does NOT have secondary insurance).  Provider is Out of Network for all insurance, except Medicaid. 

example: all patients are charged $140 per hour (which is the medicaid allowable for this type of service) insurance pays $50. for example.   can we charge the patient that does not have secondary insurance the difference up to $120 per hour (which in this case would be $70)? or do we have to charge them what we are paid when the patient does have Medicaid?

Pay_My_Claims:
why not treat them as cash clients. we gave cash clients a 10% discount . you charge 140, client pays your fee minus the discount because they are oon. you code it as office discount, and file the claim NON ASSIGNED. this way client gets reimbursed what the insurance pays. the debt is already 100% paid up front.

this way you don't have to worry about fraud

Anne:
yes, that sounds like what we should do.  thanks.

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