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Thread: Gyn problem vs no problem

  1. #1
    Join Date
    Apr 2007

    Default Gyn problem vs no problem

    AAPC: Back to School
    When is it ok to take a specialist copay vs PCP copay.


  2. #2
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire


    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
    Join Date
    Apr 2007


    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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