Amount charged for insurance pay clients vs. cash pay clients

by Kim
(Michigan)

I was always told that there can be a minor difference in the fee charged to a cash paying client vs. an insurance paying client. The doctor I work for doesn't believe me and wants written proof that you cannot charge one client $150 and another $50 (examples)for the same service.


I need guidance on where to find this or for someone to tell me I have lost my mind and there are not guidelines for the fee scale question I have.

Response:

It may not be a simple answer. My understanding is that it can depend on the laws in your state and/or the contract(s) your provider has with any insurance companies that he is in network with.

Here's a good article that discusses the legalities of cash pay pricing while still in network.

Hope this helps answer your question. I encourage comments (click on link below) by any of our visitors who have dealt with this issue.

Thanks!

Click here to post comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Your Questions.

Recent Articles

  1. Is it possible to work in Medical Billing or Coding at night instead of during the day?

    Oct 23, 17 09:16 PM

    How common is it that a company would allow you to work from home as well as working at night so you can be with your children during the day? I'm an

    Read More

  2. Should I get my medical billing certificate from AAPC or somewhere else before I start my own business?

    Oct 23, 17 09:15 PM

    Hi! I am contemplating starting my own medical billing business and I was wondering if I should get my medical billing certificate from AAPC or some other

    Read More

  3. What is the CPT code for 'Male Hormone Panel'

    Oct 23, 17 08:57 PM

    What is the CPT code for 'Male Hormone Panel' ...testosterone/estrogen/PSA/IGF- 1 /DHEA -Sulfate/ Progesterone Response: We'll post in hopes our Visitors

    Read More

Disclaimer and Privacy

All-Things-Medical-Billing.com provides this website as a service. Please read our full Disclaimer and Privacy Policy here.


Copyright 2017 All-Things-Medical-Billing.com