Medical Billing Forum
Medical Billing Forum - Get all of your billing & coding questions answered here!
Welcome,
Guest
. Please
login
or
register
.
Did you miss your
activation email
?
1 Hour
1 Day
1 Week
1 Month
Forever
Login with username, password and session length
News:
How to Complete CMS 1500 Forms
- Quickly & Easily Learn How To Fill Out CMS 1500 Forms Step by Step ...With No More Guess Work![/size]
Home
Help
Search
Login
Register
Medical Billing Forum
»
Billing
»
Billing
(Moderators:
Alice Scott
,
Michele
) »
REFUND REQUEST
« previous
next »
Print
Pages: [
1
]
Author
Topic: REFUND REQUEST (Read 1983 times)
mruiz12
Newbie
Posts: 23
REFUND REQUEST
«
on:
May 14, 2014, 04:12:46 PM »
I received a refund request from an insurance stating that i should have not billed the first office visit as a new patient visit. We should have billed out for established patient. We have never saw this patient in the office before this first visit. My Dr did see him in the hospital when he was on call. According to this insurance they are stating since the Dr saw him in the hospital then the first visit should have been billed out as an established patient visit. I have never come across this before from any other insurance. Does any one know if they are correct or not?
Logged
kristin
Hero Member
Posts: 703
Re: REFUND REQUEST
«
Reply #1 on:
May 14, 2014, 04:27:50 PM »
A new patient is one who has not received any "face to face" services from the provider before(or in the last three years). So yes, the patient was established when they came to the office, because the doctor saw them in the hospital already.
Logged
mruiz12
Newbie
Posts: 23
Re: REFUND REQUEST
«
Reply #2 on:
May 14, 2014, 06:49:18 PM »
@kristin. thank you so much for your reply back. I have never came accross this problem till now.
Logged
kristin
Hero Member
Posts: 703
Re: REFUND REQUEST
«
Reply #3 on:
May 14, 2014, 07:35:57 PM »
You are welcome!
Usually, the claim would deny for the new patient code being billed when the patient was already seen, as opposed to what happened to you where they paid it and now want the money back.
Logged
Medical Billing Forum
Re: REFUND REQUEST
«
Reply #3 on:
May 14, 2014, 07:35:57 PM »
Print
Pages: [
1
]
« previous
next »
Medical Billing Forum
»
Billing
»
Billing
(Moderators:
Alice Scott
,
Michele
) »
REFUND REQUEST