Sounds like the ortho surgeon is getting the hospitalist to do his/her work for him/her.
Routine admission and postoperative care (including discharge) are factored into the RVUs of the procedure performed and are not separately payable, as the surgeon has been reimbursed for this already.
However, now you have a completely different physician doing this work ... a physician who, coincidentally, is NOT covered under the global period.
BUT ...where is the medical necessity for the hospitalist's involvement?
The surgeon should be doing this. S/he is getting paid for it, after all.
Just my humble opinion.
F Tessa Bartels, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join