Wiki Physician billing an Office Visit ...

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searchthweb

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Hello

I have a lot of physicians billing me for an office visit, and the report they wrote up - while they saw the patient.

Now, I thought if a physician bills for a report (and an office visit), the report has to be "Out-Of-the-Ordinary" ... otherwise, the report is part of the office visit payment.

Any help would be much appreciated ...
 
Just a Regular Doctor's Report

Hello

Thanks for responding to my question ...

I have these doctors - who will bill for an office visit, and then also bil for the report they generate from speaking with the patient (history, medical-decision-making, etc).

Thanks
 
That report sounds an awful lot like a medical record for the encounter, in which case they have to do that at minimum to even get paid for the office visit. If they write a special report about an independent interpretation of a diagnostic report/results, it contributes to the MDM of the E/M, if it was relevant and necessary. If it's really extensive, you can try to bill 99080, but it's probably going to deny - that's mainly utilized by Work Comp. Hope that helps! ;)
 
Work Comp ...

Hello

Would you elaborate on Work Comp ?

That's exactly what I am doing ... and I wonder if these doctors who are billing me for their reports (the report for the office visit encouter) ... are payable.

I thought exactly as you say ... "The report is part of the office visit encounter, and is not paid separately."

But, for Worker's Comp .. maybe it's different ? ...

Thanks
 
A lot of times for work comp it is different. It depends on your state. If you are involved with work comp then you need to get your states work comp manual for providers. You can get a ton of information from this on specific work comp coding and billing issues.
 
A lot of times for work comp it is different. It depends on your state. If you are involved with work comp then you need to get your states work comp manual for providers. You can get a ton of information from this on specific work comp coding and billing issues.
 
Just wanted to add...

mitchellde said:
A lot of times for work comp it is different. It depends on your state. If you are involved with work comp then you need to get your states work comp manual for providers. You can get a ton of information from this on specific work comp coding and billing issues.
Click to expand...

Google your state's department of insurance, division of worker's compensation, and search within the website for provider reimbursement policies and procedures. Hope that helps!
 
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