inglés term (edited): do you shadow bill?

The concept of shadow billing in health care is described here:

http://wiki.answers.com/Q/What_is_shadow_billing_in_medical_...

Since there is no direct translation, I'd go for a descriptive one. "Health Maintenance Organization" is sometimes translated as Organización de Mantenimiento de Salud, but it may be useful to leave the original English acronym. It's your call.

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Note added at 1 hr (2013-09-24 15:26:43 GMT)
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Well, let's chuck in a few more references of what shadow billing really is...

"For the majority of their reimbursement, providers normally bill their HMO claims through their Medicare Advantage plan. However, in order to reimburse these additional items for the Medicare HMO claims, MACs need to have the providers also bill the claim through the FISS system, as they do their other claims for Medicare Part A. This duplicate billing is known as "shadow billing."

http://www.wpsmedicare.com/j8macparta/departments/audit_reim...

"“Shadow billing”, synonymous with “no pay” or “information only” claims, is an unofficial term that refers to the process wherein hospitals submit claims to their Medicare Administrative Contractor (MAC) for inpatient services provided to Medicare beneficiaries who are enrolled in a Medicare Advantage (MA) plan. These claims are submitted, as per instructions from CMS through a series Transmittals, for the purpose of requesting supplemental Indirect Medicare Education (IME), Graduate Medical Education (GME), and Nursing Allied Health Education (NAHE) payments, and for the proper reporting of Medicare beneficiary days to be counted in the Medicare fraction of the Disproportionate Share Hospital (DSH) calculation."

http://managemypractice.com/shadow-billing-hospitals/

"Teaching hospitals are required to create a “shadow claim” in order to receive Indirect Medical Education (IME) / Graduate Medical Education (GME) payments from Medicare when the patient is enrolled in a Medicare Advantage plan.

Shadow billing is a persistent problem for teaching hospitals as Medicare’s methodology places the burden upon the provider to identify Medicare Advantage IME claims and code the affected claims correctly before processing. Not capturing 100% of all eligible accounts negatively impacts IME revenue and ultimately affects the facility’s ability to reconcile and maximize GME through the cost report."

http://www.healthcarepayment.com/services/shadow-billing-2/

And finally, a link to a passage from the book Hospital Reimbursement which provides a very clear and unambiguous definition of what "shadow billing" means:

http://books.google.es/books?id=frA0hZSwX2kC&pg=PA78&lpg=PA7...