Two Visits, Same Practice, Same Day

Messages
359
Location
Malone
Best answers
0
PA sees patient in office for cough and SOB, sore throat, patient later presents to hospital where MD from same practice admits patient for B Pneumonia, we can only bill for the MD service, not office E/M, correct?
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
Best answers
0
Physicians in the same group practice who are in the same specialty must bill and be paid as though they were a single physician. If more than one evaluation and management (face-to-face) service is provided on the same day to the same patient by the same physician or more than one physician in the same specialty in the same group, only one evaluation and management service may be reported unless the evaluation and management services are for unrelated problems. Instead of billing separately, the physicians should select a level of service representative of the combined visits and submit the appropriate code for that level.

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

30.6.5
 
Top