more questions about EP/Cardio collaboration
Thanks for the response^. We still have a lot of questions about billing properly when our EP sees cardiology patients. In our practice we have mostly interventional cardiologists, but we also have one non-interventionalist (echo specialty) and one EP (she doesn't do any coronary or vascular interventions, only EP procedures. She does though, share call with all of our other cardiologists. A particular instance, Dr. A (interventional cardiologist) admits a patient on Thursday for an acute MI; and sees the patient Thursday and Friday. Dr. EP (our electrophysiologist) is the doctor on call for the weekend, so follows the patient on Saturday and Sunday. Dr. A goes back to following the patient on Monday. on Tuesday, the patient develops a-fib, for which Dr. A asks Dr. EP to consult. So for Tuesday, we have a follow-up visit charge from Dr. A, and a "consult" charge from Dr. EP (even though we have already billed 2 follow-up visits under her ((the weekend)). After this, both physicians may follow the patient for a few days, and both submit charges. Is this correct? I know this is a lot of info, please ask me to clarify or for more information if necessary or it helps to get an answer. We are really struggling (as coders) wanting to be doing this correctly. Please include any information available about how a physician is contracted by our hospital, because we don't (as coders) know anything about this. Thanks so much!
