Advanced Search

Pulmonology Coding Alert

Reader Question:

Eliminate Same Day Physician and NP Services Billing Confusion

Published on Thu Dec 27, 2012

Question: Our NP is working with our pulmonologist in the same outpatient clinic. We are planning to see new patients two days a month. He will have his own visit and cover certain topics with each patient, and our NP will then see the patient on the same day and cover additional topics that he will not be covering. Our NP will mainly cover health maintenance issues. Are we able to bill for the NP service if it occurs on the same day as the patient sees our pulmonologist if NP is covering an entirely different subject? The visit with the NP will be 45 minutes and is primarily counseling. Michigan Subscriber Answer: The general rule is one E/M service per patient per physician group per day. When your pulmonologist and an NP both have a face-to-face encounter with the same patient on the same day, only one bill needs [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pulmonology Coding Alert

View All