anlagrange
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I am hoping some of you can weight in with your thoughts. A patient is seen by the bariatrics surgeon for a lapband adjustment and an office visit. The billing office sends a bill to the payor for both E/M level office visit and lap band adjustment. The payer denies the lapband adjustment as being inclusive in the payment for the office visit. The lap band has a higher gross charge than the office visit.
What are the ethics revolving around only billing the higher level charge (lap band adjustment) and not the E/M level office visit?
My thought is that this has illegal written all over it.
Any thoughts or links on this topic would be greatly apprciated.
Thank you
!
What are the ethics revolving around only billing the higher level charge (lap band adjustment) and not the E/M level office visit?
My thought is that this has illegal written all over it.
Any thoughts or links on this topic would be greatly apprciated.
Thank you