Quote:
Originally Posted by Cliff Fr
Sounds to me like they are over billing so that the medicare advantage company will payout more in the end.
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Wrong. The insurance company does not care what the bill total is... they pay exactly the same no matter what the bill, unless the provider charged less than the allowable. So if test A has an allowable of $10, and hospital Z charges $12 for it, they get paid $10. If hospital Y charges $200 for it, they get paid $10. You do not get paid more for billing more