General Billing and Insurance
- A hospitalized patient is discharged over a weekend when a different physician is cross-covering. The covering physician writes the prescriptions but does not dictate a discharge summary.
- Our insurance contracts allow us to charge patients for non-covered services. We would like to start charging some of our insurance patients a yearly fee for prescription refills, etc. Can we?
- When the audiololgist is performing diagnostic testing in the office and the doctor is out of the office do we bill under the doctor's name or the audiologist's?
- In the group setting can one doctor within the group send a patient to another doctor in the same group (same tax ID), for the sole purpose of a 2nd opinion? Can we bill insurance?
- Can our office charge patients that have insurance A for non-covered services (phone calls, RX refills, etc.) while not charging patients that have insurance B for the same non-covered services?
- How should I manage credit balances?
- Does TMA have any information about fee schedules and managed care contracts?
- When can you retain insurance overpayments?
- I understand that there is a Texas law stating that insurers have to cover screening colonoscopy for patients over 50. What is the exact law so that I can tell insurers who are still refusing to cover colonoscopy?
- How may I get information about the HMO/PPO prompt pay rules?
- Is there a statute of limitations regarding how far back we can go to collect a debt from a patient?
- Who is responsible for the medical bills of a deceased patient? Should we send bills to the spouse/adult child of the patient?
- We have a new physician who has just joined our practice and is not yet credentialed - can we still bill for their services?
- Can we charge a fee for missed appointments/no-shows?