Was hoping someone on the billing / practice mgt list serv can help us settle a reimbursement debate...
Situation:
A physician owned (office based) NON-accredited and NON-participating with any insurance MR site: When a patient has advanced imaging services, will most major carriers consider this to fall under the patient's out of network coverage or would services be completely denied, hence self-pay even if precerted as the site is NON-accredited (as well as OON)?
Interested to hear people's thoughts as well as if anyone has experience with this.
Richard Fleury Vice President & Executive Director Department of Radiology & Imaging |