Payer policy · Definition
Buy and bill: Definition
The practice purchases a drug, administers it and bills the payer, carrying the inventory cost and reimbursement risk.
This is a short definition only. The full explanation lives on biologics and injectable billing, which is the page to read if you are dealing with this on live claims.
Definition
Common with dermatology biologics.
The margin depends on acquisition cost against the payer's allowable, and on authorization being secured before the dose is given.
For worked examples, payer rules and documentation requirements, read biologics and injectable billing. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.