Intelligence Unit Special Reports Special Events Subscribe Sponsored Departments Follow Us

Twitter Facebook LinkedIn RSS
This is an excerpt from a member-only article. To read the article in its entirety, please login or subscribe.

Reader question: How to use 'bill above' in reimbursement coding

Q. Are you familiar with the term "bill above" in ­reimbursement coding? My understanding is that services categorized as "bill above" are reimbursed for that service in addition to a capitated rate for the ­patient's part of capitated plans. What does it take for a service to be declared a "bill above" service?