Neurology & Pain Management Coding Alert

Identify primary payer and confirm state requirements.Knowing how to handle primary and secondary payers when patients are covered by two insurance companies can be a real challenge.Vital tip: You can ethically maximize your practice's reimbursement and reduce the costs of administering claims for patients covered by more than one payer if you understand coordination of benefits (COB) and how both insurers are supposed to pay.Here are three common questions -- with answers from the experts -- to get the scoop on what you need to do to ensure you're on the right track with multiple payer billing situations.1. What Does Coordination of Benefits Even Mean?COB is a common clause in many health insurance policies. It specifies how the insurer will reimburse for services when more than one insurance plan is applied to a claim."Coordination of benefits exists when there are two policies in place (i.e., one is the husband's employer policy and the [...]