Botox Billing Help

[Guest guest]

Help, please!!

My wife is a physician and is starting a side cosmetic practice to add to her work at a non-profit clinic. She's not officially open yet as she'll be subleasing form me once I get my office going. She has been to botox training and is injecting botox on friends and neighbors as her "practice patients". Two of our neighbor's daughters in their 20s have hyperhydrosis and treatment with botox is covered by their insurance (we checked). My wife wants to treat them and get the insurance to pay for the botox but she doesn't want to charge for her CPT services b/c it's her first time treating hyperhydrosis (and they are good friends but primarily b/c of the first time treatment). Since our office and office systems aren't set up yet, we are kind of putting the cart before the horse. I feel a little out of my league in how to do this

but one of the daughters would like it done before she heads back to college after the holiday break.

The easiest way to do this is to find a pharmacy that will take a prescription for the botox, let them deal with the insurance company. Then my wife can inject it without needing to send a bill. However, we are having trouble finding a pharmacy that has it in stock or is willing to order it. So my wife created a .doc bill (attached) for the patient to submit to the insurance company. She's giving a "same day cash discount" make her services free. She was thinking of using an "introductory discount" as that's the main reason she is giving her services for free.

So I need help from the billing experts and botox experts: What we are doing right and where we are getting ourselves into trouble?

Of note, my wife was able to get botox added to her malpractice policy from the non-profit clinic even though it's a "side practice". I was surprised she was able to do this but I'm not complaining.

Craig

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Deidentified billing statement.axillary botox.doc