12-10-2018, 09:05 AM
reports from their insurance carriers where they show the amount a doctor bills verses the actual amount paid
The doctor has to "overbill" the insurance company to cover the cost of billing the insurance company and only receiving the "negotiated rate".
Insurance billing often needs to be resubmitted multiple times. If you don't use exactly the right coding, the claim will be denied. Claims processing is a skilled occupation, those people make more than minimum wage.
This is why some doctors are only offering "concierge care".
The doctor has to "overbill" the insurance company to cover the cost of billing the insurance company and only receiving the "negotiated rate".
Insurance billing often needs to be resubmitted multiple times. If you don't use exactly the right coding, the claim will be denied. Claims processing is a skilled occupation, those people make more than minimum wage.
This is why some doctors are only offering "concierge care".