KJenkins588
Networker
Hello all,
Here is the issue we are having. Patient has surgery and is now in a global. The NP in our practice would like to continue billing during the post-op because she is insistent that she is treating other issues that the patient has. Some of these issues effect the condition that the patient had surgery for and others do not.
I have told her that if the issues that she is treating has nothing to do with the condition that surgery was for it is okay to bill and we'll add the modifier to the charge to show this.
Here is where it gets tricky -- at times a hospitalist can be involved in the patient's care as well to treat those other conditions and issues.
I can recall being taught when I first started that we can not put through two E/M services, even if it is different specialties, if it's for the same condition/issues.
Is that correct thinking? And if so is that in writing somewhere that someone can direct me to?
Without proper documentation outlining this rule she is adamant that she should continue billing.
Anyone's help out me greatly appreciated!
Thank you!
Here is the issue we are having. Patient has surgery and is now in a global. The NP in our practice would like to continue billing during the post-op because she is insistent that she is treating other issues that the patient has. Some of these issues effect the condition that the patient had surgery for and others do not.
I have told her that if the issues that she is treating has nothing to do with the condition that surgery was for it is okay to bill and we'll add the modifier to the charge to show this.
Here is where it gets tricky -- at times a hospitalist can be involved in the patient's care as well to treat those other conditions and issues.
I can recall being taught when I first started that we can not put through two E/M services, even if it is different specialties, if it's for the same condition/issues.
Is that correct thinking? And if so is that in writing somewhere that someone can direct me to?
Without proper documentation outlining this rule she is adamant that she should continue billing.
Anyone's help out me greatly appreciated!
Thank you!