Billing > Billing

Who can pay the administration fee for insurance billing

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sanint:
Thanks! By the way, we do not charge Medicare patients anything as we are contracted with Medicare. This fee is stricktly for private insurance billing. We also do not balance bill the patient so we get onlty the fee and whatever the insurance might pay.

PMRNC:
I did a little checking and from what I understand a fee can be charged to the "patient", just not the carrier. But in looking this up I ran across more articles on why it was a bad idea and actually could cost the practice more. Remember that if the provider has an in office billing person/staff they are already paid to do this. IF the provider insists he should notify all patients in advance AND make sure it is in their office financial policy. Since some states Medicaid can be a total pain in the rear end many patients may  have a problem paying for this service when Medicaid won't allow patients to be charged for filing fees.  And also what if the patient brings in their own forms, your policy wants to be flexible on this so not to alienate the patients that do want to avoid this fee. Many group plans have their own forms and all provider has to do is sign it if the patient brings it in. And for the forms you are filing, again, wouldn't the salary/pay of the biller justify the added work?  Again, just my 2 cents. Oh and if they use an outsourced billing company.. wow I would have a big problem with paying an added fee. I still would have a problem paying additional monies when they have staff that are paid to do this.   And yes.. I am aware that some carriers are a pain in rear with extra paperwork as I do mental health billing where forms can take a little time, but my pay from my clients covers those services as it's my job.   

sanint:
Thank you so much! I am going to pass all of this information on to the owners and see what we can do!

Merry:
Why is there no patient billing? Are you saying that the provider only accepts insurance only? I understand about not billing Medicare patients as the allowed amount is paid at 100% for lab work but is that true for all commercial insurance companies? I doubt it but I could be incorrect.

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