Charging patients cash for “insurance covered” services

CodeCast | Medical Billing and Coding Insights

Many practices offer cash payment options to avoid insurance billing, hoping to reduce administrative burden or boost revenue.

However, this practice of charging cash for services that could be billed to and covered by a patient’s insurance plan raises serious compliance concerns. Federal law and insurance contracts generally prohibit this practice because it undermines the healthcare payment system and can lead to regulatory violations.

Terry discusses the compliance ramifications of this policy with a little health from a NAMAS article.

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