Results 1 to 2 of 2

Hospital based NP versus private practice MD

  1. #1
    Default Hospital based NP versus private practice MD
    Medical Coding Books
    I have a group I work with that is on call for trauma and ER. For trauma patients they follow up in a trauma clinic at the hospital where the hospital based NPs see them and then the MD's from the private practice also see the patient. From what I can tell the NP cannot charge separetly as it is included to the hospital global pay. Can the MD's bill for seeing the patient for follow up (no surgery done)?

  2. #2
    Milwaukee WI
    Default Separate specialty and practice?
    If the private practice MDs are NOT in the same practice or are of a different specialty that the MD who provided the ER services, then you may code what that MD documented for the follow-up clinic visit. It sounds like your POS will be 22 (outpatient hospital). You may NOT use any of the hospital-employed NPs documentation, however, other than ROS and PFSH.

    Hope that helps

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Outside Physicians Billing for Private Practice.
    By PatriciaWright in forum E/M
    Replies: 2
    Last Post: 02-27-2015, 11:06 AM
  2. Private Practice Consulting
    By tjrice in forum Employment General Discussion
    Replies: 0
    Last Post: 12-15-2014, 08:13 PM
  3. Splitting a Private Practice
    By rebeccamoorecpc in forum General Discussion
    Replies: 2
    Last Post: 04-19-2013, 05:53 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.