ASC Split Facility Bill


Evans, GA
Best answers
A patient goes into a neighboring Outpatient Cardiac Cath facility for a cardiac Cath. One physician does the diagnostic Cath, leaves, another physician places a single stent. Each physician reports and bills their procedures. The facility sends two bills, coding for two separate facility visits. When asked why not bill on the same invoice, the facility manager stated that Medicare required (patient was not Medicare) billing as two separate visits because there were two separate physicians. Is this correct? If so, can you provide a CMS citation? Thanks!!
To my understanding base on two physicians in the same setting performing two different procedures.
1 insurance with 2 physicians 1 claim
1 insurance with a worker comp claim 2 claims
1 insurance with a self pay or "cash pay" 2 claims