KSanders01
New
We are a group of private NICU physicians who service multiple hospitals. Recently our Doctors have been sent on transports by the hospital because they reportedly don't employ staff trained qualified to care for newborns in transport. We are NOT billing for these and the hospital is NOT paying us for this, so we are wanting to try and bill insurance. I have a few questions....
1. We can bill for CPT 99466 & 99468 on the same day correct?
1. Is there a code for non-critical transport of a neonate? We accompany newborns who are stable but need to move to a different facility for surgery, etc. Is this billable along with our non-critical daily charges? I can't find a code for this....any suggestions?
2. What are the documentation/ risk management guidelines we should be following for these trips? We have never treated patients outside of the hospital before so this is new to us. Would we use Modifier 41?
3. We had a APRN sent to a delivery an hour away for a delivery and planned pick-up of an "extremely pre-term baby" (delivering hospital doesn't have a NICU or neonatologists.) The baby was born healthy and full term so we weren't needed. She spent 8 hours total between the drive and waiting at the hospital...is there a "stand-by" code or something else we could use for this?
Thank you!
1. We can bill for CPT 99466 & 99468 on the same day correct?
1. Is there a code for non-critical transport of a neonate? We accompany newborns who are stable but need to move to a different facility for surgery, etc. Is this billable along with our non-critical daily charges? I can't find a code for this....any suggestions?
2. What are the documentation/ risk management guidelines we should be following for these trips? We have never treated patients outside of the hospital before so this is new to us. Would we use Modifier 41?
3. We had a APRN sent to a delivery an hour away for a delivery and planned pick-up of an "extremely pre-term baby" (delivering hospital doesn't have a NICU or neonatologists.) The baby was born healthy and full term so we weren't needed. She spent 8 hours total between the drive and waiting at the hospital...is there a "stand-by" code or something else we could use for this?
Thank you!