centralizedcoding
Contributor
QUESTION: I have a provider on maternity leave and our other providers are trying to figure out how to collect their portion for seeing these pts while she is on leave. I have a pt that started her OB care w/ us and only had 4 visits total (2 visits routine ob care & 2 billed as problem visits) prior to the pt unfortunately having miscarriage where she (per hospital records) delivered upon arrival to hospital then required D&C for retained placenta. Her last visit was with us on 8/17, then had D&C at outside facility from us on 8/19. I originally opted to not bill the visit we did on 8/17 considering records reflected she was admitted to outside facility the very next day on 8/18 as insurance will often deny visits leading up to surgeries like this. I am being told that I can bill problem visit we seen pt for on 8/17 and just add modifier since the D&C was performed by outside provider. Does this sound correct? Or is there a different way of going about this? TIA!!