Billing and insurances (Full Version)

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ysumpt2006 -> Billing and insurances (January 17, 2008 11:37:46 PM)

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.



jlharris -> RE: Billing and insurances (January 18, 2008 1:06:04 AM)

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.  



SJBird55 -> RE: Billing and insurances (January 18, 2008 7:25:52 AM)

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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