tci General Surgery Coding Alert - 2019 Issue Q4

Reader Question: Know Who Gets No-Show Bill

Question: We’ve established a policy for billing no-shows, and we report 99199 to payers for the no-show fee. Now I’ve been told we can’t bill 99199 to the payer. Is that correct?  SuperCoder Subscriber Answer: Yes, that is correct. If the office has determined it will pursue a billing policy for no-shows and the policy clearly states the terms, you must know who to bill. For situations like these, do not bill the payer. Instead, bill the patient directly. You can only bill payers for rendered medical services and/or supplies utilized on the patient. No-show...

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