Wiki Provider Billing for ALC Patients

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sbuck328

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Local Chapter Officer
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Hi all,
Does anyone have information on how a provider can bill for his part B services when the patient is in an ALC status in the hospital? I have a Nephrologist who is seeing a patient that was placed in ALC status 3 days ago, awaiting rehab placement for a hip fracture, who needs to be seen for his dialysis evaluation. Please help! :)
ALC=Alternate Level of Care
Thank you!
 
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sbuck328 said:
Hi all,
Does anyone have information on how a provider can bill for his part B services when the patient is in an ALC status in the hospital? I have a Nephrologist who is seeing a patient that was placed in ALC status 3 days ago, awaiting rehab placement for a hip fracture, who needs to be seen for his dialysis evaluation. Please help! :)
ALC=Alternate Level of Care
Thank you!
Click to expand...
The provider would need to be credentialed with the ALC and then you can bill inpatient E/M visits.
 
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