Selina Posted Thu 04th of April, 2019 13:42:15 PM
Hello, I 'm not sure if this will be something that you can help with......We have an insurance carrier that does not compensate for CRNA services without a supervising participating anesthesiologist. We are out of network with this insurance group. Are we permitted to charge the patient a discounted self pay rate? OR would we be required to charge the full fee to the patient? The doctor and the facility are both participating with the insurance company. Thank you, Selina
SuperCoder Answered Fri 05th of April, 2019 03:30:29 AM
Thanks for your question.
Since your practice is out of network with this insurance group, you will need to notify the patients and have them sign an ABN if they would like to continue with the use of a CRNA. If they want to go ahead, then the payment should be charged from the patient. It depends on the practice to charge either dicsounted fee or the full fee.
Hope it helps.