Wiki insurance-only billing

[gracz]

Hi,
can an independent provider offer "insurance-only billing" for certain screening services without violating any compliance law / Stark, Anti-kick back, Fals claims, etc / ?

 

[leeannatk]

No - if the provider (independent or not) is credentialed with a payer they are obligated to collect the patient responsibility. Doing otherwise would be considered Fraud.

Lee Ann, CPC, CANPC, CHA, CHC, CHPC
Orlando