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Tobra Tobra is offline
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Join Date: Aug 2005
Location: Carmichael, CA
Posts: 53,773
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If you do not bill far more than the allowed amount, they will start to think the allowed amount is enough for you, and they pay a percentage of that.

For example, say Medicare's allowed amount is $100 for a service. They pay 80% of the allowed amount, or $80. You might think, if they are going to pay $80, just bill them that. If you do, you get $64, 80%

As a provider, you are better off billing a big number, accepting the smaller one that is a percentage of what they allow, and let the dance continue.
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