BC Advantage - 2019 Issue 9

You CAN Charge Medicare More Than You Charge Some Patients

For a number of reasons, the issues surrounding pricing in the healthcare industry are particularly complex. Some of the issues result from government regulation, while others result from the fact that because of insurance, many healthcare transactions occur without the buyer ever inquiring about price. There are many basic misunderstandings about healthcare fees. One common misconception is that it is illegal to charge Medicare more than any given patient. In general, there is no governmental requirement that a clinic have a uniform charge for all payers. I believe that one of the most common billing myths is that...

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