PKeeley
New
Scenario - You have an LLC comprised of primary care and specialty providers who bill under one TAX ID number. All insurance payments are made out to the LLC, not to the individual providers, i.e., the providers reassign the benefits to the LLC.
question 1 - Patient undergoes surgery. While in the postoperative global period, the patient sees his primary care for an unrelated problem. Does the visit with the PCP require a modifier 24?
question 2 - Decision for left meniscectomy is made today for a surgery to take place mid December. Prior to the surgery, the patient sees his primary care for left knee pain. Is the visit with the PCP billable or is it part of the global period?
question 1 - Patient undergoes surgery. While in the postoperative global period, the patient sees his primary care for an unrelated problem. Does the visit with the PCP require a modifier 24?
question 2 - Decision for left meniscectomy is made today for a surgery to take place mid December. Prior to the surgery, the patient sees his primary care for left knee pain. Is the visit with the PCP billable or is it part of the global period?