Wiki OB Split package

[riverloverjen38@yahoo.com]

Question. If a physician leaves the practice after treating OB care and another physician is hired and takes over, can I bill the antepartum care codes 59425 and 59426 for the physician that left? Both physicians are under the same department. The physician leaving wants his RVU's for treating the patients before he leaves.

 

[csperoni]

To clarify, the patient received all OB care by the same practice? If so, this should be billed global to the insurance (unless one of those carriers that don't accept global ob).
Internally, your practice can determine a way to credit the physician for the work done prior to leaving. Depending on who wrote/reviewed the physician contracts, it may be specified whether or not the leaving physician is even entitled to those wRVUs.

 

[Cls1530]

I tell my coders to think of it like all the providers in the practice are under an umbrella. We bill for the services of the umbrella. If one leaves, the rest are still under the umbrella. I hope that makes sense.