Can We Bill the Patient Only?

Hi,
We have several injections/services, such as Hep A and B, B12 shots, and BIOZs, that are typically not covered by Medicare/Medicaid and other insurance companies. When they are covered, we are finding out that they do not always reimburse us the cost it costs us to provide these, much less give us a profit margin. Can we choose a select list of services that are "Bill Patient Only" services, and have our patients pay and sign a form that they understand we will not bill their insurance companies for these? Are we allowed to do this if the patient is saying they want it and will pay for it?
If we do this and the patient bills their insurance and gets paid some, do we have to reimburse them to the allowable rate when these are covered but not at our costs?

I need an answer for this ASAP! Thanks in advance for your help!

No

You must submit and take the contracted amount for Medicare and Medicaid. And likely for all your contracted insurers. You should have an ABN signed for all of those (but I don't know what BIOZ is) since Medicare can cover them in some circumstances. But you can choose to NOT offer these to Medicare etc and only offer to good payors.