Our practice just hired an independent contractor to see patients at our office part time. He has an NPI under our practice and also an NPI under his own practice. We are HemOnc and he is a Pulmonologist. He will be seeing patients at both places. Ours being part time.
Here's my question and need clarity:
He saw a patient at his Pulmonary practice and that office(completely separate from our office) set up a surgery for that patient however the surgery is related to Hematology (which is our practice and also a mutual patient). The Dr has given us a list of patients that he has done Oncology related surgeries on and Our practice is wanting to bill for these surgeries (EBUS as an example) however, prior authorization was obtained by his pulmonary practice but not through ours. Can we still use that authorization for that procedure or do they still need to be seen through our practice?
Shouldn't the patients he see's for us be completely separate if he intends on doing surgery on patients seen in our practice? I need some kind of guidance on the guidelines of the correct billing for an independent contractor.
Also, any follow up visits for post op needs to be at our clinic, correct?
Here's my question and need clarity:
He saw a patient at his Pulmonary practice and that office(completely separate from our office) set up a surgery for that patient however the surgery is related to Hematology (which is our practice and also a mutual patient). The Dr has given us a list of patients that he has done Oncology related surgeries on and Our practice is wanting to bill for these surgeries (EBUS as an example) however, prior authorization was obtained by his pulmonary practice but not through ours. Can we still use that authorization for that procedure or do they still need to be seen through our practice?
Shouldn't the patients he see's for us be completely separate if he intends on doing surgery on patients seen in our practice? I need some kind of guidance on the guidelines of the correct billing for an independent contractor.
Also, any follow up visits for post op needs to be at our clinic, correct?