• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Article 28 clinic- Overseeing doctor Clarification

Messages
167
Location
Plymouth, MA
Best answers
0
We currently have a provider based clinic, Article 28 that provides behavioral health services. We are located in NY and there is some confusion on who should be billed out on the claim when it comes to Medicare. We do not bill with place of service 11, as this is hospital outpatient. The doctor is onsite during all visits but doesn't always see the patients. We have counselors that see the patients when the doctor does not.
So if a patient comes in and sees a counselor can we have the overseeing physician on the claim form seeing that she, the MD, oversees the treatment plan, co-signs every note even when the counselor sees the patient and reviews/updates treatment plan as needed?

Right now we do not bill these professional fees out due to the conflicting thoughts surrounding the issue. Any help would be appreciated.
 
Top