Wiki ABN for "convenience fee"

leeannatk

Contributor
Messages
23
Best answers
0
Our multispecialty group has recently added several internal medicine groups so we are getting used to billing Medicare. The question I have circles around convenience fees for venipuncuture/lab draw.
My understanding is that the Medicare reimbursement for 36415 is $0. Our offices would still like to offer the convenience of lab draws to the patients. Can we no charge the 36415, and then charge a convenience fee of say $15 to the patient. If so - are we required to give an ABN for this charge?

Thank you in advance for your insite.
Lee Ann CPC, CHA, CHC, CHPC
 
Per your contract with Medicare, you are required to bill all services to them. If you have reason to believe that a service will not be paid, you have the patient sign the ABN form before providing the service. You must then bill that service with a modifier so that your EOB will come back with a patient due amount for that service. See this web page for the modifiers http://www.capturebilling.com/commonly-used-medicare-modifiers-ga-gx-gy-gz/
 
Top