To those in private practice:
Do you collect upfront when a patient's insurance deductible has not been met yet? Let's say a patient comes in for a first time visit for a comprehensive eye examination and you bill using 92004 (New patient, comprehensive eye examination)
Consider these two scenarios:
Scenario 1: Patient has a 4K deductible for the year which hasn't been met. You collect $200 up front, render services, then bill insurance. EOB (explanation of benefits) gets posted by insurance and the cost of the visit is 175. So you owe the patient 25. You can cash them a check or use it as credit for a future visit.
Scenario 2: Patient has a 4K deductible for the year which hasn't been met. You don't collect up front, render serves, then bill insurance. Patient now owes you 175. You send a bill to the patient and it is ignored. Send multiple bills and the same ensues. You can now send the patient to collections and patient is guaranteed to not return to you. More importantly, you've provided a free visit and lost 175.
Do you collect upfront when a patient's insurance deductible has not been met yet? Let's say a patient comes in for a first time visit for a comprehensive eye examination and you bill using 92004 (New patient, comprehensive eye examination)
Consider these two scenarios:
Scenario 1: Patient has a 4K deductible for the year which hasn't been met. You collect $200 up front, render services, then bill insurance. EOB (explanation of benefits) gets posted by insurance and the cost of the visit is 175. So you owe the patient 25. You can cash them a check or use it as credit for a future visit.
Scenario 2: Patient has a 4K deductible for the year which hasn't been met. You don't collect up front, render serves, then bill insurance. Patient now owes you 175. You send a bill to the patient and it is ignored. Send multiple bills and the same ensues. You can now send the patient to collections and patient is guaranteed to not return to you. More importantly, you've provided a free visit and lost 175.