Where are the rules for this? I believe I just asked a similar question about ancillary services. Let me just clear this up for my peace of mind...we do INRs for outside ordering physicians, but we are not a anticoagulation clinic, the nurse sees the patient, reviews and documents all appropriate information to qualify for a 99211. Currently we are billing under a "Nurse Visit" which is assigned a specific "rendering doctor" who may or may not be on-site when the visit occurs. That leads me to a few questions; We have to bill under a "rendering physician" who is on-site, correct? That includes all services done by a MA/RN/EMT/LPN, the "rendering physician" on the claim must be on-site when the services are performed? Back to the 99211 and anticoagulation, the "rendering physician" on the claim, must also be the provider who signs off on the note, correct?
If anyone has any suggestions, please, let me know. I am struggling because I have only held the coding manager position in this company for less then 2 years and I am still trying to get them on the right track. Sometimes it's harder then others and this situation is hard. They have been doing what's easy for too long. I need documentation to support my request for change regarding ancillary services. Any help is much appreciated.
Stefanie Cramer, CPC
Sr. Coding Specialist
Cape Fear Valley Health Systems