I do not know if there is a Medicare ruling on this. But I do know that our practice policy is that if two providers (same specialty, same practice) see the patient on the same day, all the documentation is considered as ONE E/M visit, and we always bill under the first person who saw the patient.
The only exception is when Provider # 1 sees a patient who is stable earlier in the day; but the patient "crashes" later and Provider # 2 provides critical care. Then we code the E/M for Provider # 1; and critical care for Provider # 2.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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