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Gyn problem vs no problem

  1. #1
    Default Gyn problem vs no problem
    Medical Coding Books
    When is it ok to take a specialist copay vs PCP copay.

    Thanks

  2. #2
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    Seacoast- Dover New Hampshire
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    Default
    If you are the specialist then you get the specialist copay. If you are the PCP you get that copay.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Default
    If your specialty is OB/GYN, then I would say collect the specialist copay amount. Insurance will process it based on their qualifications regardless of what you collect or don't. If they leave the patient a lesser amount you refund them or apply it to any other balances they owe.

    I have a perinatalogist, obviously a specialists, but sometimes the insurance takes no copay out at all. We just refund in that case.

    Laura, CPC, CEMC

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