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Re: Deductibles

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No time of service applies if you bill insurance. Unless you want to discount for someother reason.

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-

If you are billing insurance you need to bill your usual fee without

a deduction.

BRad Rethwill, DC

Eugene, OR

-- In , " Sorah " <msorah@...> wrote:

>

> Docs,

>

>

>

> What is the appropriate way to deal with patients who have

deductibles and

> are making full payment at time of service? Is it appropriate or

allowable

> to apply a " payment at time of service " discount in these

situations?

>

>

>

> Sorah, DC

>

> Corvallis, OR

>

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At my office, anybody who pays on date of service is given a cash discount. If they have a deductible to meet and want to apply that day's services to it, they are given a bill showing the discounted price but including diagnosis, and they can send it in them self. If we have to do billing, no cash discount is available. Most patients with higher deductibles just take the cash discount and forget about sending it in unless some other medical catastrophe gets them up to meeting the deductible. Very few Chiropractic patients in my office will spend 500 or 1000 in a calendar year, and once they have become a regular Chiropractic patient their need for medical care goes down, or they come here first.. R Johansen D.C.,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818-- "bradrethwilldc" <bradrethwilldc@...> wrote:

-If you are billing insurance you need to bill your usual fee without a deduction.BRad Rethwill, DCEugene, OR-- In , " Sorah" <msorah@...> wrote:>> Docs,> > > > What is the appropriate way to deal with patients who have deductibles and> are making full payment at time of service? Is it appropriate or allowable> to apply a "payment at time of service" discount in these situations?> > > > Sorah, DC> > Corvallis, OR>

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Mike: While it is legal, I personally think applying a " time of

service " discount in that situation is a bad idea. I look at the

concept of a TOS discount as giving a significant discount due to the

fact that:

1- you are getting paid up front

2- you will NOT have to deal with insurers and there paperwork special

requirements

Perhaps just set up a payment plan. We do this all the time at our

office. We get a significant amount of income via " auto-debiting " .

But again, it is legal in that you are giving the discount for being

paid at TOS and you would have to offer that to any/all

insurers/payors willing to pay you TOS (there are none).

>

> Docs,

>

>

>

> What is the appropriate way to deal with patients who have

deductibles and

> are making full payment at time of service? Is it appropriate or

allowable

> to apply a " payment at time of service " discount in these situations?

>

>

>

> Sorah, DC

>

> Corvallis, OR

>

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