sadieandbrian
Networker
I'm sorry, I know this has been a topic before...but I am looking for some help or some guidance regarding this.
We do billing for a pain management physician. Our office clinic is located within the same building as the procedure clinic where he does his injections, nerve root blocks, facet blocks, etc.
So my question is...if he sees the patient in our office clinic for say back pain & then takes them over & does any of the above procedures on his back...can we bill for the office visit?
My view is "no", it's included in the procedure. But others have said it needs researched to see if that was the reason for the appointment in the first place, etc. I'm thinking it shouldn't matter...the office visit is included in the RVU's for the procedure, so no separate office visit should be billed. (I do understand that if besides the back pain, he also did an exam for say a sore knee...THEN the office exam could be considered separate).
Any & all help is appreciated!! Thanks!
We do billing for a pain management physician. Our office clinic is located within the same building as the procedure clinic where he does his injections, nerve root blocks, facet blocks, etc.
So my question is...if he sees the patient in our office clinic for say back pain & then takes them over & does any of the above procedures on his back...can we bill for the office visit?
My view is "no", it's included in the procedure. But others have said it needs researched to see if that was the reason for the appointment in the first place, etc. I'm thinking it shouldn't matter...the office visit is included in the RVU's for the procedure, so no separate office visit should be billed. (I do understand that if besides the back pain, he also did an exam for say a sore knee...THEN the office exam could be considered separate).
Any & all help is appreciated!! Thanks!