Wiki E/M same specialty,different dx

[2believe]

I am in a multi-specialty office and we have several Neurologist. If Dr A, sees
a patient with neck pain and bills an initial visit, then Dr B sees the same patient a year later with back pain, would this senario fall into the 3 year rule? Would I bill an established patient visit? I say yes, because both Dr's have access to the medical records and bill under the same tax ID#.

Please help

 

[Lisa Bledsoe]

Yes, this falls into the 3 year rule. Same specialty/same practice is considered to be the "same physician". Unless the patient is sent for a consultation, which you could code as long as documentation requirements for a consult are met and the patient is not Medicare.

 

[Walker22]

agree