What are the billing guidelines regarding fees to patients with different financial classes or self pay?

by CMccullough
(New Orleans, LA)

My office provides a service which we have just become approved to bill for. My office is state run. Some patients are not enrolled in this program and we are providing this service for free. May we bill for services provided to patients that are enrolled in the program while continuing to provide the same service for patients not enrolled for free?


I know the fee for service has to be the same no matter what the financial class is. All patients have to be charged the same for the same service. If not it is discrimination because of financial class.

Thanks

Response:
I don't know if this answers your question but I've had providers that billed the same amount for a service - regardless of a patients ability to pay.

But they did "Write-Off" the fee to certain patients who were not able to pay - at the providers discretion.

Like you mentioned your billing does have to be non-discriminatory based on financial class. But I understand the provider does have discretion in offering services for free or "Pro bono".

Hope this helps. Anyone else have experience with a similar situation please post your comments by clicking on the link below:

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. 2017 Physicians Practice Staff Salary Survey Results - Medical Billing & Coding

    May 21, 17 09:36 PM

    Physician's Practice has released their 2017 staff salary survey results. We take a look at the Medical Billing and Coding salaries.

    Read More

  2. Outsourcing Medical Billing Services to India

    May 18, 17 11:52 AM

    Has anyone had experience with their providers medical billing services to companies based in India - or any other country? One of our clients is considering

    Read More

  3. Challenges of Getting New Clients for Established Medical Billing Service

    May 14, 17 10:53 AM

    We have a small medical billing company. We pride ourselves on personalized service and actively, often for free, consulting with our clients to make their

    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