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same group, 2 diff specialties

  1. Default same group, 2 diff specialties
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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

  2. #2
    Location
    Milwaukee WI
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    Default Two different specialites
    Physicians of two different (recognized) specialties in the same practice can each bill independently of one another.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default
    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
    Kristen Richard, CPC

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