ASH527
Guru
I have a question, which I pretty much know the answer but would like clarification - Have a patient that had a CT scan performed and the facility billed $6500 for the service - the insurance - BS allowed $7600 and paid $5200 - with this info I know we can bill the patient the difference of $1300 ($6500 - 5200 = $1300) but we cannot bill the patient more just because the insurance allows more - am I correct as this would be fraudulent billing as our charge for the service is $6500 not $7600 and we wouldn't be billing the higher charge across the board to all other carriers or patients. The patient has disputed this and I agree - but our billing manager insists the patient owes more than the $1300
Any comments/suggestions would be appreciated
Any comments/suggestions would be appreciated