i need help re: NT scan billing

Re: i need help re: NT scan billing

• supermom83 member

  January 2011

  Insurance didn't cover our NT scan, so I had to pay the same day we got it at the doctors office and I only got a receipt when I paid and never sent a bill. I had to pay $300. Just thought I'd let you know how expensive it was, was yours more? 

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• cvl105 member

  January 2011

  supermom83:

  Insurance didn't cover our NT scan, so I had to pay the same day we got it at the doctors office and I only got a receipt when I paid and never sent a bill. I had to pay $300. Just thought I'd let you know how expensive it was, was yours more? 

  Wow, I find it crazy that insurance doesn't cover something like this. That sucks.

  ~Chelsea~
  

    
  

  
  

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• leb2be

  January 2011

  it would have been $318 without the insurance adjustment, but they also added in the OB sono AND transvaginal ($318 AND $196).  

  

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• PhotoCat82

  January 2011

  My insurance doesn't cover the NT scan either.  In regards to billing for 3 things, yes, it is ethical as long as all 3 things were actually done.  Sometimes things have to be billed globally, but more often than not, using more than 1 CPT code is what happens.  For example, in my office, if a patient comes in for an epidural steroid injection, there are actually about 10 different codes that get billed for the 1 procedure.

  You can always try calling the office to see if they can reduce the fee for you.
  

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• Becky262

  January 2011

  Makes sense to me - if there were more than one procedure done, then seems right that there's more than one billing code.  The vag-cam is a different machine and requires separate cleaning, ect after being used, so I think it's reasonable that your doctor's office needs to be reimbursed for that.  (Be prepared - when you get to the hospital, they will charge you down to every last pan you puke in.)

  But if you have questions, contact your insurance or doctor's office for clarification. 

  
  

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• leb2be

  January 2011

  thanks guys.  i guess i was under the impression that i was just going for the NT scan and that code covered whatever they were going to do.  my insurance company didn't have a problem with the separate codes being used and told me to call the radiology office.  ugh...i'm not going to lie- i HATE dealing with health insurance.  i remember this from last time and i HATED it then too.  i think it's a combination of not understanding it all and not trusting the people billing me.  it's like we (all encompassing "we"- patients, doctors, staff) are paying for the fraud/misuse of others.

  thanks for your help. 

  

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• EMLYNNLERETTE member

  January 2011

  I am not going to lie, I know nothing about billing codes.  I do however work for a woman who does medical billing and she told me to watch out for multiple bills regarding the same procedure but worded slightly differently.  She even said that they will sometimes charge different amounts for those EXACT same things!  Her daughter recently had major surgery and she saved herself something like $900 by just going over the bills!  Just FYI.
  

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• leb2be

  January 2011

  EMLYNNLERETTE:

  I am not going to lie, I know nothing about billing codes.  I do however work for a woman who does medical billing and she told me to watch out for multiple bills regarding the same procedure but worded slightly differently.  She even said that they will sometimes charge different amounts for those EXACT same things!  Her daughter recently had major surgery and she saved herself something like $900 by just going over the bills!  Just FYI.
  

   thanks for this.  we are calling them today to talk with them about it.

  

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