ELITEMED1
Contributor
I need some clarification on compliant documentation for a particular group. Current workflow is patient comes into the office with infant, sees IBCLC for lactation counseling/guidance. During the visit the MD talks with the patient, reviews the notes by the IBCLC- all via telemedicine. The MD then attests the services, the education provided, the plan, and indicates the dx codes.
I have educated the provider and non QHCP that the MD must attest and sign for their own medical eval/services and the IBCLC's services before I can properly code and for the notes to be compliant.
My ask:
1. Shouldn't there be two claims (one for mom, one for baby) for lactation counseling?
2. If medical concerns are addressed, that would create a third claim from the MD?
a. If no additional medical concerns, the MD services would be telehealth codes. Correct? Still a third claim.
3. Since the MD is attesting the IBCLC services, the claim can be billed under the MD. Correct?
If all this is incorrect, please advise with the proper workflow.
I want to ensure proper documentation and compliant billing. If anyone could assist, it would be much appreciated. Thank you,
Michelle
I have educated the provider and non QHCP that the MD must attest and sign for their own medical eval/services and the IBCLC's services before I can properly code and for the notes to be compliant.
My ask:
1. Shouldn't there be two claims (one for mom, one for baby) for lactation counseling?
2. If medical concerns are addressed, that would create a third claim from the MD?
a. If no additional medical concerns, the MD services would be telehealth codes. Correct? Still a third claim.
3. Since the MD is attesting the IBCLC services, the claim can be billed under the MD. Correct?
If all this is incorrect, please advise with the proper workflow.
I want to ensure proper documentation and compliant billing. If anyone could assist, it would be much appreciated. Thank you,
Michelle