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pass through billing

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best biller:
is anyone familiar with what pass through billing is?

PMRNC:
Pass-through billing is when the ordering provider requests and bills for a service, but the service is not performed by the ordering provider.

Medicare prohibits pass through billing, so do most other carriers, I know BCBS does not allow it

best biller:
the provider who asked me about pass through billing has two locations. she wants to do this billing for the location in Connecticut. is it allowed to do in Connecticut?

PMRNC:
There are many legal issues with pass through billing which is probably why it's prohibited by Medicare, Because of stark and Anti-kickback rules, I would have your provider consult with an appropriate attorney for the answer on this.

best biller:
This is what that doctor asked me,

Can you please tell me if you know how to do,, pass through billing "
for the laboratory tests I am doing in my Connecticut office?

Any help would be greatly appreciated.

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