Can Providers bill for Missed or No Show Visits?
The middle of the day and things are going well. I look at the schedule and we have treated 10 patients so far. 1/2 done YEAH our next patient is a sweet elderly woman who started getting treated a few months ago. She is usually a few minutes early but today it appears she is really behind putting me behind schedule. I call the patient and identify that she hasn't even left her home but completely forgot about her appointment .
We rescheduled her appointment but now I am in a dilemma. Can I bill her for this visit as a No Show? She is a Medicare patient but can we bill Medicare patients for No Shows? We charge $35.00 for our other patients who do not cancel within 24 hours.
The answer is YES
Medicare has stated that a provider can bill Medicare patients for missed appointments not as a service but as a missed business opportunity. The provider is responsible for billing all of their patients the same and can not discriminate against Medicare beneficiaries.
If the provider accidentally bills Medicare for a missed visit charge Medicare will process the claim and submit a EOB with Reason Code 204: This service or equipment/drug is covered under the patient's current benefit plan.
To read Medicare's complete statement:
http://www.cms.hhs.gov/transmittals/downloads/R1279CP.pdf
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5613.pdf
To read more about Medicare updates including Billing Health Insurance Information check out Medicare Medical Coding and Billing Courses
Medical Billing and Coding Keyword Tags: medical billings and claims, medical billings claims, medical claims electronic billing, claim billing software, electronic medical claim billing, lytec medical billing software, medical billing schools, medical coding and billing schools, medical billing schools online, medical coding and billing schools online, medical billing classes online, online medical billing school, medical billing and coding courses online, courses online, medical billing classes, chiropractic software, online courses medical billing, No Shows, Late Fees, Medicare Billing, Medicare Health Insurance
Labels:
Medicare
No comments:
Post a Comment