Billing & Coding: In-Network vs. Out-of-Network

Are you wanting to bill insurance for your acupuncture services?

Here are some things to consider when deciding on plans that offer in-network vs. out-of-network benefits.

In-network benefits are offered by a health maintenance organization (HMO) and these plans will not pay a provider who is not registered as a member of their plan.

Plans offered by preferred provider organization (PPOs) generally will allow patients to choose providers out of the network; however, the out-of-pocket expense to the patient may be higher.

As a new acupuncturist it is important to be selective.

However, accepting insurance plans that will pay for your services will not only impact your bottom line, but also allow patients greater access to care.

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network (AACN) is your solution.