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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.


  2. #2
    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
    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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