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Billing and insurances
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Billing and insurances - January 17, 2008 11:37:46 PM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
Status: offline
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Is it not common practice to treat all insurances the same as Medicare when it comes to billing? For example 10 min U/S, 27 minutes therex, 14 minutes manual = 51 minutes (3 units), but individually could be 4 units (1, 2, 1).
Does anyone actually bill differently based on payor?
I have always treated all payers equally in billing.
Just a conversation I was having with colleagues.
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RE: Billing and insurances - January 18, 2008 1:06:04 AM
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jlharris
Posts: 468
Joined: April 12, 2006
From: Nebraska
Status: offline
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I would assume you bill the way you are contracted to with the insurance in question. MDCR requires at least 8 min of something to charge for it. UHC gives you crap no matter what you do, Ins X may pay per intervention given. So, it'd seem silly to take less reimbursement from Ins X, Y, or Z just becuase MDCR is overbearing and rediculous in it's billing requirements.
_____________________________
Jason L. Harris, PT, DPT
My PT Blog
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RE: Billing and insurances - January 18, 2008 7:25:52 AM
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SJBird55
Posts: 2293
Joined: May 10, 2004
From: Michigan
Status: offline
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I only follow the 8 minute rule with Medicare, Medicare Blue and Medicare Advantage programs. The 8 minute rule is a Medicare rule. (Medicare Blue and Medicare Advantage here in this state say they follow Medicare rule and regulations, so by that definition the 8 minute rule should be followed.)
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