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Wiki same group, 2 diff specialties

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superorozco

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Hi,
I have a question, we bill for a group of cardiologists and also have pediatric intensivists, same tax number. If the intensivists bill for lets say, Critical Care 99291, and then they request a consult from one of the cardiologists in the same group, and they both bill for same dx, should we had a modifier on the consult? Is this still considered concurrent care if it's the same group practice?

Thank you,

Kathy Super, CPC:)
 
No you would not bill with any modifier. You would bill those sepatately. Physicians that are different specialties but are within the same group, under the same tax Id#, are considered separate and can bill independently. Just as long as your physicians are documenting correctly, if Dr. A in your group, request for a consult from Dr. B who is a different speciality, you may bill a consult.

Hope that helps :)
 
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