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Discount for patient with high DED

Hello, group,My provider has a pt who has $5,000 in DED unmet.Doctor( chiro with Demo) performed a long treatment course.But pt can't pay that much.Can Doctor offer any discount towards her DED.Pt in...

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Re: Discount for patient with high DED

Here's a copy of the OIG's ruling on the matter. You will note it states "hospital" but the OIG later confirmed the same rules apply to any provider type.The OIG is only concerned with "routine"...

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Re: Discount for patient with high DED

If you want to give your patient a discount, then I think it is wrong to bill their insurance, in this case. When you bill the insurance, and the insurance puts it to deductible, then they expect the...

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Re: Discount for patient with high DED

Based on my experience with patients with very high deductibles, first, they pay almost nothing in premiums. This is why they selected the plan with high deductibles. You and I may pay $250 per month...

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Re: Discount for patient with high DED

If the premium is high then the ded is obviously going to be low. The patient pretty well knows this. Sometime back we had a patient asking for a discount in the ded amount. But our doc refused to do...

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Re: Discount for patient with high DED

Choice? Yeah, cuz EVERYBODY has the income that allows them to choose a low deductible with a $500/mo (or more) premium vs a high deductible with a $200 premium! Because everyone can just quit their...

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Re: Discount for patient with high DED

I realize insurance is quite expensive. My company struggles to pay 100% of the cost for our employees. However, the patient knew what the deductible was going to be. In my opinion they should have...

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Re: Discount for patient with high DED

Thank you for all your answers. But I really believe that It could be some form that confirms that Doc gives discount do Pt if he/she is in financial needs, If discount already provided by New...

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Re: Discount for patient with high DED

I don't think its legal not to bill ins, but charge pt.

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Re: Discount for patient with high DED

If the provider is not contracted with the patient's insurance, you do not have to send a claim. That is a patient responsibility per their contact. You can collect 100% of your charges from the...

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Re: Discount for patient with high DED

We are in network providers.

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Re: Discount for patient with high DED

Unless it's Medicare, work comp, or other "legal" involvement, the patient can certainly elect not to use their insurance and just be private pay.They can also go to a clinic with a sliding scale fee,...

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