Medical Billing Forum
Coding => Coding => : Ruthie1972 May 19, 2020, 05:49:34 PM
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Hello,
WE have patients that provide their own Prolia and the charge is entered as .01 as a place holder but the ins company Martins point is still paying for this and then billing the patient for their co insurance.
Is there a modifier that needs to be added to let the insurance company know not to bill or pay for the medication when the patient provides it?
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I know of no modifier for this...the charge for the Prolia supplied by patient should be entered as a zero charge, not a penny. Is there a reason why this isn't being done?
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hi Kristin,
I was told it is just a placeholder, they do not actually get charged...do you think it would make a difference if it was a zero charge?
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I also think it should be a zero charge, or left off the bill completely.
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Thank you both so much.