How Out-of-Network Reimbursement Works
Suppose Suzie spends $200 to see a therapist who does not take her health insurance (which is a PPO plan she obtains through her employer). Depending on the treatment she receives and the type of insurance plan, her insurance company might say the amount she paid exceeds the “allowed amount”. For out-of-network services, the patient […]Read more
J- codes and E- codes and F- codes, Oh My!
Coding Best Practices for Ketamine Clinics Most outpatient out-of-network services like a visit to a doctor or therapist utilize fairly simple medical coding–there’s usually just one (or maybe two) service codes (also known as CPT, or Current Procedural Terminology codes). But as new treatments go out-of-network, like ketamine infusions for depression, medical coding needs to […]Read more