Here is a situation where a patient calls the office with multiple complaints. He was scheduled to have an A-V fistula created next week. Had lab work done today showing a CR of 5.4. The call is taken by CRNP. She talks to physician, who wants pt admitted to hospital to have placement of temporary hemodialysis catheter then start dialysis.
Here is the situation, the CRNP dictated a H&P solely on phone conversation & contents of chart. The physician sees pt in hospital, & dictates an addendum to H&P, stating that he examined the pt. "I performed key elements of physical exam, reviewed medications & lab data. I discussed with patient regarding the need for the placement of a temp. catheter for which he agreed. I consulted Vascular Surgeon. Hemodialysis will be performed as per protocol. ESA support will be continued during dialysis."
I know I can't bill this under the CRNP since she did not see pt. face to face. Is there anyway I can bill this under the physician. I'm thinking NO!!
Here is the situation, the CRNP dictated a H&P solely on phone conversation & contents of chart. The physician sees pt in hospital, & dictates an addendum to H&P, stating that he examined the pt. "I performed key elements of physical exam, reviewed medications & lab data. I discussed with patient regarding the need for the placement of a temp. catheter for which he agreed. I consulted Vascular Surgeon. Hemodialysis will be performed as per protocol. ESA support will be continued during dialysis."
I know I can't bill this under the CRNP since she did not see pt. face to face. Is there anyway I can bill this under the physician. I'm thinking NO!!