[SPAM]Re: Fee For CN's?

[Guest guest]

Dr R,

Our first contact with the patient includes them signing our office policy which tells them many things. Among those; that there's a fee to send records, do reports etc. They sign agreement to this. We have no contract with their private ins company. So any refusal to pay is strictly between the patient and their insurance company. I think if you explain it like that from day one, most won't think it's your fault.

Minga

In a message dated 4/23/2008 5:14:20 P.M. Pacific Daylight Time, drbobdc83@... writes:

Well, that has always been our policy. But, the insurance company is telling us in advance that there is no provision "in the patient's policy" to pay for chart notes... So, the dynamic here is, the insurance company tells the patient they won't pay for the visit because of US! So, this pits patient against doctor! (beautiful for the insurance company). (:-)

M. s, D.C.

Fee For CN's?

Brief poll here:

Q: When a private insurer requests "Office notes for the date of service," and states "The requested information must be received within forty-five (45) days from the date of the initial request or the claim will be denied/closed." Do you charge the insurance company a fee for reproduction of records?

The issue is that private insurance companies do their "claim audits" (which is fine, but it's an "internal" decision to do so), and they expect the field doctors to provide the records they request for "free."

Their position is that it is the "industry standard" (within hospitals and doctors offices) that the cost of record reproduction, and faxing and mailing of records should just be built into our fee schedule, and that these costs should NOT be charged separately to the insurance company.

How do you all feel about this? Is this valid? How do the rest of you handle these requests?

SHANKS! (:-)

M. s, D.C.

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[Guest guest]

I'd fax them then you have proof of submission. Good ole insurance.

, DC, DABCO

>

> Well, that has always been our policy. But, the insurance company

is telling us in advance that there is no provision " in the patient's

policy " to pay for chart notes... So, the dynamic here is, the

insurance company tells the patient they won't pay for the visit

because of US! So, this pits patient against doctor! (beautiful for

the insurance company). (:-)

>

> M. s, D.C.

>

>

>

> Fee For CN's?

>

>

>

> Brief poll here:

>

> Q: When a private insurer requests " Office notes for the date

of service, " and states " The requested information must be received

within forty-five (45) days from the date of the initial request or

the claim will be denied/closed. " Do you charge the insurance

company a fee for reproduction of records?

>

> The issue is that private insurance companies do their " claim

audits " (which is fine, but it's an " internal " decision to do so),

and they expect the field doctors to provide the records they request

for " free. "

>

> Their position is that it is the " industry standard " (within

hospitals and doctors offices) that the cost of record reproduction,

and faxing and mailing of records should just be built into our fee

schedule, and that these costs should NOT be charged separately to

the insurance company.

>

> How do you all feel about this? Is this valid? How do the

rest of you handle these requests?

>

> SHANKS! (:-)

>

> M. s, D.C.

>