aguelfi
Guest
I'm looking for some information to support my claim that you can not bill a patient for a procedure because you don't like what their insurance reimburses you, even though we are a participating provider. Example:
Our Dr. (ob/gyn) performs a circumcision but bills the patient because Medicaid reimburses so poorly, even though we have billed Medicaid for all of the mother's ob care. I tried to explain that since we par we can't pick and choose what services we want to bill for and that if we want to get paid more then we need to negotiate better when our contract comes up for renewal. They want this in writing. Please help!
Our Dr. (ob/gyn) performs a circumcision but bills the patient because Medicaid reimburses so poorly, even though we have billed Medicaid for all of the mother's ob care. I tried to explain that since we par we can't pick and choose what services we want to bill for and that if we want to get paid more then we need to negotiate better when our contract comes up for renewal. They want this in writing. Please help!