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AlexanderF's latest activity
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AAlexanderF replied to the thread Wiki How do you bill for non-covered services?.Ok, that makes sense. So, if the procedure (occipital nerve block or any other) is not covered due to "being experimental" or "non-medically necessary," then I should be able to bill the patient, assuming I informed the patient of the potential...
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AAlexanderF reacted to csperoni's post in the thread Wiki How do you bill for non-covered services? with
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There are a lot of nuances about why a procedure isn't covered. There are also a lot of nuances in your insurance contract about when you cannot bill a patient, and the specific requirements when you do bill a patient. Something that is not... -
AAlexanderF reacted to catherinetinkey@entmedicalservices.org's post in the thread Wiki How do you bill for non-covered services? with Like.
In this case you cannot bill the patient. Insurance companies have medical policies that specify what they will cover. I believe Cigna does have a policy on trigger point injections that states guidance is not covered. Because you are contracted...
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AAlexanderF replied to the thread Wiki How do you bill for non-covered services?.Got it! Thank you! But what I am curious is, why can't we bill the patient the fee for the service we provided that the insurance does not cover? Insurance may not consider certain medical services necessary or simply experimental/not covered by...
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AAlexanderF posted the thread Wiki How do you bill for non-covered services? in Billing/Reimbursement.Hello, I am new here and think my question may sound very basic. Can we bill the patient for services not covered by their payer or denied by their payer (commercial insurance or Medicare)? Specifically, I saw a patient in my clinic...