Depending- If a client is paying for visits which will be charged against their deductible the provider is setting the fee per appt at $80 so that only $80 will be charged as the client's responsibility because that is all the client can afford. Then when the client meets her deductible the counselor charges her regular fee of $150 for a 90834. The insurance will reprice the claim and the client will owe her copay.This doesn't look kosher to me. Any thoughts?
The insurance will reprice the claim and the client will owe her copay.
I am sorry if I wasn't clear.Client's paying $80 an appt and insurance is getting billed $80 an appt until client meets deductible.After deductible is met client is paying copay and counselor is billing insurance $125 an appt.
I would like to know more about the financial hardship paperwork. Specifically if it is listed in the law somewhere so I can give that to the counselor. Please let me know where to look for that online. Thank you.
I would like to know more about the financial hardship paperwork. Specifically if it is listed in the law somewhere so I can give that to the counselor.