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Office Fees

Aida Posted Wed 13th of November, 2013 18:34:13 PM

Currently the physician I am working for has his set office fee for private pay patient and what we bill the insurance are the same charges. Since we will not be accepting Medicaid, those patient will be charge the discount fee of $ 85.00.

If a private pay patient is unable to pay the office fee and requested a discount they will be charged $ 85.00 vs the office fee of $150.00 for cpt code 99213 (if they are an est. patient). If the patient does not request the discount charge, they will be charged $ 150.00.

I question what if the patient who was ahead and paid the $ 150.00 and aware of the discount fee of $ 85.00

I don't think this is the correct way to do this. I understand we would have to charge one fee across the board. Or afford a discount by percent, example like 30% off the $ 150.00.

We also do not have a policy in place in reference to the fee.

Any help would be appreciated.

SuperCoder Answered Thu 14th of November, 2013 01:23:34 AM

We are working on this.


SuperCoder Answered Thu 14th of November, 2013 01:23:34 AM
With CE
SuperCoder Answered Tue 19th of November, 2013 12:14:59 PM

You should have a set fee for each service you provide - whether you accept assignment, have to conform to a payer fee schedule, or are charging non-insured patients. You are free to give a discount to any patient you choose who does not have insurance, but you may not waive the copay or deductible of any with insurance as this is their contractual obligation. You may write-off monies you have not collected from a selected set of patients, or you can set up a discount in advance for certain classes of patients you wish to give the discount to. Under HIPPA regulations, the other patient's should not be aware of what your discounted patients are paying so I would suggest you review how bills are being paid up front for privacy issues. You absolutely need a policy with regard to write-offs and discounts.

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