D
Debra Cox
Guest
What is the name of your state? FL
The company I am employed with is a cardiac monitoring Independent Diagnostic Testing Facility (IDTF). As a result of the nature of our business, it is not uncommon to have claims paid at the out-of-network rate, which always results in a higher deductible and out-of-pocket expense for the patient. In addition, the patient is generally totally unaware that the cardiac monitoring (technical component) being ordered by their in-network provider is, in fact, being performed by an out-of-network provider.
My company is aware of this problem and is very sympthetic to the patient, and as a result, is willing to adjust the patient's liability to reflect in-network deductibles and co-payments, and only collect from the patient what would be due had the claim paid at in-network rates. However, I am not sure this is a permissible practice.
Is this type of practice permissible? Please advise and/or offer suggestions.
The company I am employed with is a cardiac monitoring Independent Diagnostic Testing Facility (IDTF). As a result of the nature of our business, it is not uncommon to have claims paid at the out-of-network rate, which always results in a higher deductible and out-of-pocket expense for the patient. In addition, the patient is generally totally unaware that the cardiac monitoring (technical component) being ordered by their in-network provider is, in fact, being performed by an out-of-network provider.
My company is aware of this problem and is very sympthetic to the patient, and as a result, is willing to adjust the patient's liability to reflect in-network deductibles and co-payments, and only collect from the patient what would be due had the claim paid at in-network rates. However, I am not sure this is a permissible practice.
Is this type of practice permissible? Please advise and/or offer suggestions.
