sauls
Networker
Hi all,
Does any one know how does Medicare process claims for physicians who are dually boarded, for example, we have a physician that is an internal medicine and emergency medicine ( these are two different specialty codes on the taxonomy crosswalk) . The application submitted had the internal medicine as the primary specialty selected.
So if we submitted a claim for a in patient admission ( 99221-99223) he is practicing as an IM provider. How ever, there are situation in which the same patient was seeing in the ER by a physicians who is board certified in emergency medicine for ED.
My question: are we allowed to bill for both service ( ER visit and admission) ? I know for a fact that if these two physician would be practicing under the same specialty we should only bill the admission but in this case the admitting MD is practicing under IM .
I have to clarify that the IM/EM has admitting privileges but will Medicare consider the secondary specialty code selected or do they base everything on the primary specialty?
Thanks every one
Does any one know how does Medicare process claims for physicians who are dually boarded, for example, we have a physician that is an internal medicine and emergency medicine ( these are two different specialty codes on the taxonomy crosswalk) . The application submitted had the internal medicine as the primary specialty selected.
So if we submitted a claim for a in patient admission ( 99221-99223) he is practicing as an IM provider. How ever, there are situation in which the same patient was seeing in the ER by a physicians who is board certified in emergency medicine for ED.
My question: are we allowed to bill for both service ( ER visit and admission) ? I know for a fact that if these two physician would be practicing under the same specialty we should only bill the admission but in this case the admitting MD is practicing under IM .
I have to clarify that the IM/EM has admitting privileges but will Medicare consider the secondary specialty code selected or do they base everything on the primary specialty?
Thanks every one