uksjmartin
New
Our fetal care center is part of a large pediatric hospital and physicians are employed by the hospital. That being said, we have the following question:
Can all physicians who are present for this face to face meeting with the patient bill for the total time of the meeting? All these services are billed with E/M codes by total time of service, as the majority of the face to face meeting is always in counseling and coordination of care services. (ex: meeting with patient is 60 minutes, all physicians present bill 99244)
Here is the scenario:
First the patient has several diagnostic tests performed (fetal mri, fetal echo, ultrasound).
The mom/family are then located in a comfortable room where several services interview/interact with them on an individual basis (pastoral care, social service, genetic counselor, etc.).
The fetal/maternal physician and the surgical physician, together, review the test results and prior records for the patient and develop a plan of care (for some cases, a specialist may also be involved such as urology, neurosurgery).
Next, the physicians involved, patient/family, and often some of the other non-physician providers who have met with the family meet for a "care conference" to discuss with the patient/family what the findings are, the recommended plan of care as well as any alternative care plans, answer questions of the patient, etc.
Any input would be greatly appreciated! Thanks!
Can all physicians who are present for this face to face meeting with the patient bill for the total time of the meeting? All these services are billed with E/M codes by total time of service, as the majority of the face to face meeting is always in counseling and coordination of care services. (ex: meeting with patient is 60 minutes, all physicians present bill 99244)
Here is the scenario:
First the patient has several diagnostic tests performed (fetal mri, fetal echo, ultrasound).
The mom/family are then located in a comfortable room where several services interview/interact with them on an individual basis (pastoral care, social service, genetic counselor, etc.).
The fetal/maternal physician and the surgical physician, together, review the test results and prior records for the patient and develop a plan of care (for some cases, a specialist may also be involved such as urology, neurosurgery).
Next, the physicians involved, patient/family, and often some of the other non-physician providers who have met with the family meet for a "care conference" to discuss with the patient/family what the findings are, the recommended plan of care as well as any alternative care plans, answer questions of the patient, etc.
Any input would be greatly appreciated! Thanks!