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Billing a Non-covered Service under a Payable Code

Can we do that? I could not begin to recount all the times I have heard healthcare providers or their staff ask if they can bill Medicare or another insurance carrier for a non-covered service that they perform, but just code it as something else so that they can get paid. It is little wonder […]

Co-pays vs. Co-insurance

Please Explain Co-pays versus Co-insurance I am often asked by providers and their staff to explain what each of these terms actually means.  Some mistakenly believe that the two terms are interchangeable. I discovered that many times when a patient had for example, a 20% coinsurance, the staff would charge the patient $20 a visit […]