Billing

If an insurance company only approves $60, do I have to bill all procedures performed or can I just bill the primary code? If I have to bill all procedures, can they have $0.00. This question is to keep the A/R as to what is truly owed.

Thank you for your help in advance
DonnaLee

re: Billing

You typically bill all of the procedures performed per the insurance contract. My concern with billing procedures with a 0 charge is that you're basically telling the payer you don't charge for that service, which has other implications.

The A/R is really just a write-off on the back end once the EOB comes back. Not sure it really matters whether you pull it off at the beginning or the end. Some of the things you're talking about though do matter in terms of correct coding.