Hopefully some other people will give opinions on this, but I'll tell you what we do.
1. We don't bill a discharge unless we are listed as the admitting/attending on the hospital facesheet. If there is a request from a physician (ER doc, etc.) to see the patient (even if we are their regular cardiologist), then we will bill a consult. (Unless of course it is not a Medicare patient, and all the elements of a consult are met.)
2. You can bill for the pacer interrogation. We make sure that we get the documentation from the hospital that shows the information about the interrogation. Also, if the interrogation resulted in a change in the programming, you would of course bill that instead of just the interrogation.
Hope this helps!
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