[PCOM Alumni] charging for insur reports?

[Guest guest]

i've always assumed that no, we couldn't charge b/c they are asking for info

that technically should be in our notes already. but you may be able to charge

a small amount for copying.

 

On Feb 25, 2010, at 7:24 PM, wrote:

 

> an insur co is requesting detailing written dx, tx/plan, progress notes, and

so on on a patient for whom i provided a subform. i gave the info orally to the

patient. have tx notes in the chart but not all of the tx/plan info they are

requesting. the report will take sometime to put together. can i charge the

insur co for this time. or charge a clinical consultation to the patient at my

hourly rate for putting the report together, coded so that she can submit the

charge to the insur co for reimbursement?

>

> --

> Kath Bartlett, LAc, MS, BA UCLA

> Oriental Medicine

> Experienced, Dedicated, Effective

>

>

> Abstain from all that is evil.

> Perform all that is good.

> Purify your thoughts.

> This is the teaching of the Buddhas.

>

>

> Kath's Blog about , Healthy Living & Spirituality:

> http://acukath.blogspot.com/

>

> Flying Dragon Liniment: Effective pain relief for muscles & joints

> Formulated by Kath Bartlett, Traditional Chinese Herbalist

> Available at Asheville Center for :

> www.FlyingDragonLiniment.com

>

> Greenlife Grocery - Asheville, NC

>

> Amazon.com

>

http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\

1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1

>

>

> and from the following supply companies:

> Kamwo Herbal Pharmacy: NY - Chinatown

> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

>

> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC

>

http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \

product=5554 & pg=

>

>

> Asheville Center For

> 70 Woodfin Place, Suite West Wing Two

> Asheville, NC 28801 828.258.2777

> kbartlett

> www.AcupunctureAsheville.com

> _____________

> Alumni mailing list

> Alumni

> http://mail.pacificcollege.edu/mailman/listinfo/alumni

 

 

 

 

[Guest guest]

I honestly think that this is a way the insurance companies are trying to harass

us. I usually consider what kind of company they are; if they are a top payer

and I am very motivated to retain the client, I just comply, but if they are on

the low end of the spectrum, I usually just copy the progress notes and send

them in.

If my notes are aspects of a legal proceeding, e.g.. it's a car accident, I make

an extra effort to type everything nicely and keep very extensive notes, etc,

etc, and yes, it takes additional time to collect all this information and I do

bill for it. When the companies ask for the copy of the file, I charge $45 for

the copy, which is a formally regulated fee in my state.

 

The last time I went to see my MD she came in with her laptop and did all notes

in my presence, and I am sure she chooses to do it that way is because she can

bill for all time she has direct face contact with me, but not for anything

else.

 

Regards,

Angela Pfaffenberger, Ph.D.

 

angelapfa

 

www.InnerhealthSalem.com

 

Phone: 503 364 3022

-

Fiamma Horvath

Cc: PCOM Alumni ; TCM List

Friday, February 26, 2010 5:29 AM

Re: [PCOM Alumni] charging for insur reports?

 

 

 

i've always assumed that no, we couldn't charge b/c they are asking for info

that technically should be in our notes already. but you may be able to charge a

small amount for copying.

 

On Feb 25, 2010, at 7:24 PM, wrote:

 

> an insur co is requesting detailing written dx, tx/plan, progress notes, and

so on on a patient for whom i provided a subform. i gave the info orally to the

patient. have tx notes in the chart but not all of the tx/plan info they are

requesting. the report will take sometime to put together. can i charge the

insur co for this time. or charge a clinical consultation to the patient at my

hourly rate for putting the report together, coded so that she can submit the

charge to the insur co for reimbursement?

>

> --

>

> Oriental Medicine

> Experienced, Dedicated, Effective

>

>

> Abstain from all that is evil.

> Perform all that is good.

> Purify your thoughts.

> This is the teaching of the Buddhas.

>

>

> Kath's Blog about , Healthy Living & Spirituality:

> http://acukath.blogspot.com/

>

> Flying Dragon Liniment: Effective pain relief for muscles & joints

> Formulated by Kath Bartlett, Traditional Chinese Herbalist

> Available at Asheville Center for :

> www.FlyingDragonLiniment.com

>

> Greenlife Grocery - Asheville, NC

>

> Amazon.com

>

http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\

1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1

>

>

> and from the following supply companies:

> Kamwo Herbal Pharmacy: NY - Chinatown

> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

>

> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC

>

http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \

product=5554 & pg=

>

>

> Asheville Center For

> 70 Woodfin Place, Suite West Wing Two

> Asheville, NC 28801 828.258.2777

> kbartlett

> www.AcupunctureAsheville.com

> _____________

> Alumni mailing list

> Alumni

> http://mail.pacificcollege.edu/mailman/listinfo/alumni

 

[Guest guest]

No conspiracy there. They do the same thing to the M.D.s I work with. It is

just the insurance companies holding on to every penny for the interest they can

accrue.

 

 

 

Dr. Don Snow

 

DAOM, MPH, L.Ac.

 

 

 

Chinese Medicine

angelapfa

Fri, 26 Feb 2010 10:14:39 -0800

Re: Re: [PCOM Alumni] charging for insur reports?

 

 

 

 

 

I honestly think that this is a way the insurance companies are trying to harass

us. I usually consider what kind of company they are; if they are a top payer

and I am very motivated to retain the client, I just comply, but if they are on

the low end of the spectrum, I usually just copy the progress notes and send

them in.

If my notes are aspects of a legal proceeding, e.g.. it's a car accident, I make

an extra effort to type everything nicely and keep very extensive notes, etc,

etc, and yes, it takes additional time to collect all this information and I do

bill for it. When the companies ask for the copy of the file, I charge $45 for

the copy, which is a formally regulated fee in my state.

 

The last time I went to see my MD she came in with her laptop and did all notes

in my presence, and I am sure she chooses to do it that way is because she can

bill for all time she has direct face contact with me, but not for anything

else.

 

Regards,

Angela Pfaffenberger, Ph.D.

 

angelapfa

 

www.InnerhealthSalem.com

 

Phone: 503 364 3022

-

Fiamma Horvath

 

Cc: PCOM Alumni ; TCM List

Friday, February 26, 2010 5:29 AM

Re: [PCOM Alumni] charging for insur reports?

 

i've always assumed that no, we couldn't charge b/c they are asking for info

that technically should be in our notes already. but you may be able to charge a

small amount for copying.

 

On Feb 25, 2010, at 7:24 PM, wrote:

 

> an insur co is requesting detailing written dx, tx/plan, progress notes, and

so on on a patient for whom i provided a subform. i gave the info orally to the

patient. have tx notes in the chart but not all of the tx/plan info they are

requesting. the report will take sometime to put together. can i charge the

insur co for this time. or charge a clinical consultation to the patient at my

hourly rate for putting the report together, coded so that she can submit the

charge to the insur co for reimbursement?

>

> --

>

> Oriental Medicine

> Experienced, Dedicated, Effective

>

>

> Abstain from all that is evil.

> Perform all that is good.

> Purify your thoughts.

> This is the teaching of the Buddhas.

>

>

> Kath's Blog about , Healthy Living & Spirituality:

> http://acukath.blogspot.com/

>

> Flying Dragon Liniment: Effective pain relief for muscles & joints

> Formulated by Kath Bartlett, Traditional Chinese Herbalist

> Available at Asheville Center for :

> www.FlyingDragonLiniment.com

>

> Greenlife Grocery - Asheville, NC

>

> Amazon.com

>

http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\

1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1

>

>

> and from the following supply companies:

> Kamwo Herbal Pharmacy: NY - Chinatown

> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

>

> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC

>

http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \

product=5554 & pg=

>

>

> Asheville Center For

> 70 Woodfin Place, Suite West Wing Two

> Asheville, NC 28801 828.258.2777

> kbartlett

> www.AcupunctureAsheville.com

> _____________

> Alumni mailing list

> Alumni

> http://mail.pacificcollege.edu/mailman/listinfo/alumni

 

 

[Guest guest]

so, IS it legal to charge for our notes? how do we do it, exactly? i am not in

network with insurers, but my patients do submit out of network claims, and i

sometimes get requests for my notes....and it does take a while because i

re-copy them without any of the extra information that is not pertinent to the

chief complaint (at least in their eyes).

[Guest guest]

This question might depend on what state you are in, and who is asking for your

notes.

In Oregon Workers Comp sets up fees for all services every year, and those fees

are generally seen as " customary and Usual " The copy of the whole file has a

price tag of about $45, and I routinely charge that for all attorneys and

Workers Comp. Insurance companies can and sometimes want an progress note for a

specific date, and will often tell you that they will not process the claim

unless you provide it, and I just send it in without charging. (if you do that

make sure it's disclosed in your HIPPA form.

It's more tricky when clients or other providers ask. There is a chiro here in

town who asks for a complete file every time one of my clients went to seem him

, and I got tired of it and told him he needs to send $ 45 with the request, and

he is furious. If clients move out of state and have been with me for a long

time and want their file, I usually just gave it to them.

 

Regards,

Angela Pfaffenberger, Ph.D.

 

angelapfa

 

www.InnerhealthSalem.com

 

Phone: 503 364 3022

-

Fiamma Horvath

Chinese Medicine ; alumni

Alumni

Saturday, February 27, 2010 5:58 AM

Re: [PCOM Alumni] charging for insur reports?

 

 

 

so, IS it legal to charge for our notes? how do we do it, exactly? i am not in

network with insurers, but my patients do submit out of network claims, and i

sometimes get requests for my notes....and it does take a while because i

re-copy them without any of the extra information that is not pertinent to the

chief complaint (at least in their eyes).

 

 

 

 

[Guest guest]

Angela,

 

 

 

This seems odd as in many states the laws may stipulate who you can charge these

fees to (ie, attorneys). Charging another provider for consultation on a

patient seems wrong. You can usually submit a summary of your case and that

should work, it also seems a bit off that this provider asks for all the patient

notes on every acupuncture patient. You should not have to pay for copy each

and every time either. Suggest you send the patient to a different chiro next

time. I hope you keep a copy of your out of state patient files, just to CYA.

 

Michael W. Bowser, DC, LAc

 

 

 

 

 

 

Chinese Medicine

angelapfa

Tue, 2 Mar 2010 17:41:27 -0800

Re: Re: [PCOM Alumni] charging for insur reports?

 

 

 

 

 

This question might depend on what state you are in, and who is asking for your

notes.

In Oregon Workers Comp sets up fees for all services every year, and those fees

are generally seen as " customary and Usual " The copy of the whole file has a

price tag of about $45, and I routinely charge that for all attorneys and

Workers Comp. Insurance companies can and sometimes want an progress note for a

specific date, and will often tell you that they will not process the claim

unless you provide it, and I just send it in without charging. (if you do that

make sure it's disclosed in your HIPPA form.

It's more tricky when clients or other providers ask. There is a chiro here in

town who asks for a complete file every time one of my clients went to seem him

, and I got tired of it and told him he needs to send $ 45 with the request, and

he is furious. If clients move out of state and have been with me for a long

time and want their file, I usually just gave it to them.

 

Regards,

Angela Pfaffenberger, Ph.D.

 

angelapfa

 

www.InnerhealthSalem.com

 

Phone: 503 364 3022

-

Fiamma Horvath

Chinese Medicine ; alumni

Alumni

Saturday, February 27, 2010 5:58 AM

Re: [PCOM Alumni] charging for insur reports?

 

so, IS it legal to charge for our notes? how do we do it, exactly? i am not in

network with insurers, but my patients do submit out of network claims, and i

sometimes get requests for my notes....and it does take a while because i

re-copy them without any of the extra information that is not pertinent to the

chief complaint (at least in their eyes).