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Therefore, balanced billing on one account, as opposed to split billing on separate accounts, is perfectly admissible.īacked-up copies of test results / graphs / referral letters / patient notes should be kept in line with Booklet 14: Guidelines on the keeping of patient records, from the ethical guidelines from the Health Professions Council of South Africa.In other words, the account to the patient only reflects the amount that the patient is responsible for, while the claim to the medical scheme only reflects the amount equal to the benefits the medical scheme is prepared to pay for the service rendered. Split-billing occurs when the service provider sends two separate accounts, one to the patient and one to the medical scheme, that presents different amounts for the same service.
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#EEG CPT CODE FULL#
Balanced-billing is when the service provider sends two identical accounts to both the patient and the scheme indicating the full amount for the services delivered, but specifying the portion owed by the patient and the portion of benefits the medical scheme is prepared to pay for the service rendered.Additional amounts charged should reflect on each invoice (balanced-billing).ĭifference between balanced-billing and split-billing: Nappi codes used for disposables should be the same as reflected on supplier of product’s invoice.The referring medical practitioner’s details (name and practice number) should appear on all claims.All tests and procedures should be performed on written request from a referring medical practitioner.Variations might exist, and should be supported by written request from a referring medical practitioner. This document serves to provide guidelines for the correct usage of Clinical Technology codes in the field of Neurophysiology.These are guidelines only, in line with acceptable practice.