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Old 03-25-2008, 07:08 PM
chrisron chrisron is offline
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Default Can you bill 2 copays for....

When a pt comes in for a preventative ov (99397) and a E/M (99213) can you charge 2 copays for the same visit?


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Old 03-26-2008, 05:25 AM
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charge just one copay.
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Old 03-26-2008, 04:00 PM
Jackie Stack Jackie Stack is offline
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That would depend on your payor. If it is an insurance company that charges copays for preventative care and also E/M visits then you can charage the patient for the two copays. You will be able to tell on your EOB's. If the insurance company is taking that copay amount out of the amount they pay you from their allowable amount, if you don't collect the copayment you are loosing money.

If an insurance company pays you their allowable amount and doesn't subtract a copay amount then you cannot collect a copay.
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Old 03-26-2008, 04:11 PM
Lisa Bledsoe Lisa Bledsoe is offline
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I agree with Jacqueline - if the insurance applies a copay to each code, then the patient is responsible for 2 copays.
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Old 03-26-2008, 08:08 PM
kbarron kbarron is offline
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Default 2 copays

Why would you charge two copays on the same date of service? It is still only one encounter with the Provider.
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Old 03-27-2008, 04:07 PM
relong relong is offline
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occasionally we have this happen when the patient is seen for E&M and happens to have treatment or lab on the same day and the billing doesn't go out at the same time. Or they get charged out under 2 different physicians. We don't charge the patient for 2 copays since they are recieving all services at the same facility on the same day.
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Old 03-27-2008, 07:10 PM
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Quote:
Originally Posted by chrisron View Post
When a pt comes in for a preventative ov (99397) and a E/M (99213) can you charge 2 copays for the same visit?


thanks
chrisron
Sometimes it's a case by case basis, in our office if this happens we only charge 1 copay, we will just write one off.
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