Originally Posted by mommafank
Originally Posted by lupee60
I'm a CCA and yes, this is correct coding, and its allowed by the correct coding iniciative. i know it does not seem right. but if you go see the dr for a well visit and he also takes care of another problem not related to the well visit he is allowed to bill for the office visit also. but the insurance pays 100% of the well visit and only allows 50% of the office sick visit. and u should only pay what your insurance allows and most of the time it should charge only one copay. if it wants u to pay more than one copay for the visits on the same day call your insurance to cover for it . also this is more work for the doctor because he has t o document 2 seperate work sheets one for the well visit and another for the sick visit which is more documentation. and more responsability.
My complaint about that is that we all are paying such high prices for insurance that it is not fair to have to pay more than the co-pay.
like i said before you souldn't have to pay 2 copays. because its a copay per office visit when i receive payment for the ov and physical and the insurance charges 2 copays - i call the insurance and advise that it should be only one copay for visit. and the insurance sends me the difference not the patient. i hope this helps because many times the insurance processes the claim incorrectly and the patient does not call to verify his/her benefis and pays what was not paid by insurance. also many doctor offices have a coder sending the claims and another person entering the payments and that person does not know that the claim was paid incorrectly. sorry but it happens more than you think.