bethb
Guru
Hi. I have a billing question regarding the reporting ESRD related services under Monthly Capitation Payments for Medicare.
A group practice has 2 physicians. Physician 1 saw the patient on 10/23, 10/26, and 10/28. Physician 2 saw the patient on 10/5.
If I am understanding correctly, the code selection would be based on 4 visits, as long as physician 2 (who only saw the patient once) is a partner / employee of the same group practice.
The MCP physician would be physician 1 in the example, and physician 1 provided the complete assessment, plan of care and provides the ongoing management.
Would it be correct to report the MCP code for 4 visits under physician 1?
Thank you! I am new to this!
A group practice has 2 physicians. Physician 1 saw the patient on 10/23, 10/26, and 10/28. Physician 2 saw the patient on 10/5.
If I am understanding correctly, the code selection would be based on 4 visits, as long as physician 2 (who only saw the patient once) is a partner / employee of the same group practice.
The MCP physician would be physician 1 in the example, and physician 1 provided the complete assessment, plan of care and provides the ongoing management.
Would it be correct to report the MCP code for 4 visits under physician 1?
Thank you! I am new to this!
As long as the providers are in the same group. We bill under the provider that completes the comp for the month.