• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Copays on office Procedures

Messages
1
Location
Coatesville, PA
Best answers
0
I work in GI and we do hemi-banding, flex sigmoidoscopy, and capsule endoscopy in the office. We were taking copays on these procedures up until about a month ago and then our A/R stated not to. Since this is not considered surgery but an office procedure. Is it appropriate to accept a copay.
 
It is my understanding that co-payments are only collected on E/M services. However, if a patient is responsible for co-insurance, THAT would be applied to patient responsibility for any procedures. Does that make sense?

This is only my understanding based on my own experience.

You might want to double check other responses.
 
I would not collect the CoPay for the procedure - once the RA (EOB) is received from the Insurance Co., if anything is remaining which is patient responsibility it should tell you and then you can bill them for that.
 
Top