Posted in Insurance, Payers and CPT reinbursement, Training

GHI and CPT code 94200

To avoid unnecessary delays in collecting the patient responsibility, it is a great idea for your staff to look for a pattern on how the given insurance company reimbursement policy and medical necessity policy apply to which CPT codes.

For example, according to GHI medical billing policy- CPT code 94200 is part of Diagnostic Testing and therefore a $20 copay applies to this code.

Letting the patient know what her/his financial responsibility for the visit is going to be, BEFORE the office visit will reduce confusion and help your office to reduce the number of uncollected revenue.

****Please note that if you are billing with code 94200 or 94060 the copay of $20 will be applied to that code instead.