CaitlinM23
New
I work for a group of Hospitalists. We have physicians and mid-level physicians. My question is if a DO and a NP respond to a rapid response who gets to bill?? Can I add the time together?
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Wiki Billing Critical Care
- Thread starter CaitlinM23
- Start date
SharonCollachi
Guest
I don't know what a "mid-level physician" is, so I will assume you meant "mid-level clinician" or "non-physician provider" - your nurse practitioner.
If CPR was performed, only one physician can bill for CPR - only one person is in charge, no matter who did the actual compressions (it can be someone else).
Split/shared expenses: “A split/shared E/M visit is defined by Medicare Part B payment policy as a medically necessary encounter with a patient where the physician and a qualified NPP each personally perform a substantive portion of an E/M visit face-to-face with the same patient on the same date of service. A substantive portion of an E/M visit involves all or some portion of the history, exam or medical decision making key components of an E/M service. The physician and the qualified NPP must be in the same group practice or be employed by the same employer.”
So what substantive portion of care did the NP provide?
If CPR was performed, only one physician can bill for CPR - only one person is in charge, no matter who did the actual compressions (it can be someone else).
Split/shared expenses: “A split/shared E/M visit is defined by Medicare Part B payment policy as a medically necessary encounter with a patient where the physician and a qualified NPP each personally perform a substantive portion of an E/M visit face-to-face with the same patient on the same date of service. A substantive portion of an E/M visit involves all or some portion of the history, exam or medical decision making key components of an E/M service. The physician and the qualified NPP must be in the same group practice or be employed by the same employer.”
So what substantive portion of care did the NP provide?