tci Medicare Compliance & Reimbursement - 2012 Issue 5
Reader Question: Does Ability to Bill the Patient Expire?
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Article Overview
This reader Q&A explains the general issue of delayed patient billing after insurance adjudication and highlights the practical factors practices should review, including state law and payer contract terms. It is aimed at healthcare billing and coding professionals, practice managers, and providers who want to understand the noncoding considerations that may affect patient billing timelines.
Why This Topic Matters
Late patient billing can affect collections, patient satisfaction, and compliance with state or contract requirements. Understanding the broad issue helps practices avoid preventable disputes and reputational problems.
What You Will Learn
- How delayed patient balance billing is generally addressed at a high level
- Why state law and payer contracts should be reviewed before billing a patient
- What operational and patient-relations concerns can arise with very late billing
- How delayed billing may affect collections and patient trust
Who Should Read This
- Medical practice managers
- Billing and collections staff
- Healthcare coders
- Revenue cycle professionals
- Physicians and other providers
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