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:
To read more about Medicare updates including Billing Health Insurance Information check out Medicare Medical Coding and Billing Courses
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