Hi everyone,
I have been asked to help with the take over of the coding/billing for a private owned addiction medicine clinic. Here's the problem... The crew that was in charge of this prior had originally told the front desk to collect patient copays for commercial insurance patients as they were not credentialed yet. So, just last week they came and told the front desk lady that they were not going to credential to charge $275 cash for all commercial insurance patients. Is this legal? because I'm having a problem with that, it just seems so sketchy to me. If anyone could help guide me I would be greatly appreciative. I just want to have my facts before I present anything to the doctor about how things should be done going forward.
I have been asked to help with the take over of the coding/billing for a private owned addiction medicine clinic. Here's the problem... The crew that was in charge of this prior had originally told the front desk to collect patient copays for commercial insurance patients as they were not credentialed yet. So, just last week they came and told the front desk lady that they were not going to credential to charge $275 cash for all commercial insurance patients. Is this legal? because I'm having a problem with that, it just seems so sketchy to me. If anyone could help guide me I would be greatly appreciative. I just want to have my facts before I present anything to the doctor about how things should be done going forward.