Can someone please offer some advise as to how to properly bill these types of situations?
Our office has gone from billing the doctors charges under their own separate Tax ID # to billing under one group Tax ID #.
1.) Dr A performs a surgery with a 90 day global period. The patient is discharged, then pt represents for same problem and is treated by Dr. B. We know we cannot bill for another E/M but will we now be appending a -78 to Dr. B's surgery since he is under the same tax ID?
2.) Dr A performs sx w/ 90 day global period and discharges, then pt represents w/ completely different problem and is teated by Dr. B, would we now append mod -79 to the first Dr. B surgery?
***Please note that prior to 09/01/09 we were billing under separate Tax ID # and as of 09/01/09 we are billing under the Group Tax ID#.****
3.) Another scenario has come up where Dr. C treated the pt before 9/1/09 and now pt has come back w/ same problem but Dr. F is now treating after 9/1, can we bill for Dr. F consult or not, and if not do we need a -58 on his surgery? I am pretty sure that we cannot bill for the consult as it is the same specialty.
Thank you in advance.
Our office has gone from billing the doctors charges under their own separate Tax ID # to billing under one group Tax ID #.
1.) Dr A performs a surgery with a 90 day global period. The patient is discharged, then pt represents for same problem and is treated by Dr. B. We know we cannot bill for another E/M but will we now be appending a -78 to Dr. B's surgery since he is under the same tax ID?
2.) Dr A performs sx w/ 90 day global period and discharges, then pt represents w/ completely different problem and is teated by Dr. B, would we now append mod -79 to the first Dr. B surgery?
***Please note that prior to 09/01/09 we were billing under separate Tax ID # and as of 09/01/09 we are billing under the Group Tax ID#.****
3.) Another scenario has come up where Dr. C treated the pt before 9/1/09 and now pt has come back w/ same problem but Dr. F is now treating after 9/1, can we bill for Dr. F consult or not, and if not do we need a -58 on his surgery? I am pretty sure that we cannot bill for the consult as it is the same specialty.
Thank you in advance.