Do your two specialists share the same tax ID number? All physicians under a single TIN are generally viewed as one physician in the eyes of insurance carriers. If your physicians are under the same TIN, and both saw the patient on the same day for different problems, there shouldn't be any problem. However, if they both saw the patient on the same day for the same or related problem, the ins co. sees this as a duplicate charge. Unfortunately, the quick remedy to this is to combine the E/M services of both physicians and bill as a single E/M charge. They will have to divide their reimbursement on the back end. The not so easy fix is to obtain separate tax ID numbers.
Bill Hale, CPC
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