CRC CPC
Guru
I have a couple of hospitalists who are charging critical care on the same day any rules against this? Any help would be most welcome
Colleen R Cox CPC
Colleen R Cox CPC
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Wiki Help Critical Care
- Thread starter CRC CPC
- Start date
gailmc
Networker
According to WPS Medicare's PHYS022 policy, "More than one physician can provide critical care at another time and be paid if the service meets critical care, is medically necessary, and not duplicative care.
So, yes, two physicians can provide critical care on one pateint, just not at the same time.
So, yes, two physicians can provide critical care on one pateint, just not at the same time.
cheermom68
Expert
critical care
Are they in the same group?
Are they in the same group?
CRC CPC
Guru
Thank you
Its always nice to have some input from other sources. Especially fellow coders.
Thank you, Colleen
Its always nice to have some input from other sources. Especially fellow coders.
Thank you, Colleen
CRC CPC
Guru
To cheermom
Yes all use same tax id they are hospitalists
Yes all use same tax id they are hospitalists
cheermom68
Expert
Critical care
For critical care, Physicians of the same specialty within the same group practice bill and are paid as though they were a single physician (§30.6.5).
All documented critical care time would be added together and billed appropriately under one physician for that date of service.
For critical care, Physicians of the same specialty within the same group practice bill and are paid as though they were a single physician (§30.6.5).
All documented critical care time would be added together and billed appropriately under one physician for that date of service.