Out-of-network Billing
If a patient asks to see me even though I am out-of-network on her plan, can I bill her directly, or do I need to bill the insurance company?
Question: If a patient asks to see me even though I am out-of-network on her plan, can I bill her directly, or do I need to bill the insurance company?
Answer: If you are a participating provider (directly or through an IPA), you are bound by the terms of the payer contract. Often, managed-care contracts dictate that you cannot balance-bill the patient.
If you are not contracted with the payer at all, then you can do as you choose - bill as assigned and accept the allowable or bill the patient.
Asset Protection and Financial Planning
December 6th 2021Asset protection attorney and regular Physicians Practice contributor Ike Devji and Anthony Williams, an investment advisor representative and the founder and president of Mosaic Financial Associates, discuss the impact of COVID-19 on high-earner assets and financial planning, impending tax changes, common asset protection and wealth preservation mistakes high earners make, and more.
Reducing burnout with medical scribes
November 29th 2021Physicians Practice® spoke with Fernando Mendoza, MD, FAAP, FACEP, the founder and CEO of Scrivas, LLC, about the rising rates of reported burnout among physicians and how medical scribes might be able to alleviate some pressures from physicians.
