I'm not exactly sure how to word this...
Can a physician give discounts to uninsured patients "legally" as long as the fee schedule for self pay and insurred patients is the same?
Example:
An insured pt gets a holter monitor for a fee of 410.00, but the fee schedule
with the insurance is, say 210.00. The insurance says to adjust off 200.00, then pays the 210.00 and the patient has a $0 balance.
Can a physician do this same adjustment for a self pay patient. Billing the 410.00, but releasing only the 210.00 to the pt and giving a 200.00 "discount"?
It's a discussion we are having in our office, and there are varrying opinions. If there is a website that spells this out, that would be extremely helpful.
Thank You
Can a physician give discounts to uninsured patients "legally" as long as the fee schedule for self pay and insurred patients is the same?
Example:
An insured pt gets a holter monitor for a fee of 410.00, but the fee schedule
with the insurance is, say 210.00. The insurance says to adjust off 200.00, then pays the 210.00 and the patient has a $0 balance.
Can a physician do this same adjustment for a self pay patient. Billing the 410.00, but releasing only the 210.00 to the pt and giving a 200.00 "discount"?
It's a discussion we are having in our office, and there are varrying opinions. If there is a website that spells this out, that would be extremely helpful.
Thank You