Results 1 to 5 of 5

Covering Doc Delivers!!

  1. Default Covering Doc Delivers!!
    Medical Coding Books
    Just wanted some input on the subject of covering physcians. I am new to OB/GYN. I bill for two doctors who are at the same location but not a group and bill completley individually. Doctor A was out of town and signed out to covering Doctor B. Doctor B ended up delivering 2 of Doc A's patients. I thought Doc B would bill for delivery only and Doc A just antepartum, HOWEVER, in the past it was billed as , Doc A still bills global code for delivery and pays Doc B a predetermined " per diem covering fee". Is this allowed and legal? ( Doc B's name is on summary of L&D birth report) Does this fall under the rules of covering doctors???????? HELP PLEASE!!!!!!!!

  2. Default Covering Docs Delivery
    You can bill using Dr A if you use modifier Q6 Service furnished by a locum tenens physicians, which tells the Ins Co that a covering Phy provided this service for Dr. A.

  3. Default
    The office I work at bills the same as you just described. I haven't ever used Q6 but I'm going to look into it. I wonder if it reduces the allowable??

  4. Default
    Our office bills delivery to commercial payors as the MD who has seen the patient for the antepartum care. Medicaid is billed delivery only to the delivering MD and postpartum to the MD who gave antepartum care. I have also never heard of the Q6 modifier for this type service.

  5. #5
    Default delivery
    I would hate to get us into any trouble but I work for a practice that occasionally shares call with another group. We have each delivered the others' patients. We have an agreement to bill our own. If they deliver our patient we still bill the entire global- or whatever is appropriate. My two current physicians also take turns on call so they deliver whoever comes in - it doesn't matter who they are. We divide the billing not the reimbursement- I don't like it and think that the accountant should sort it out each month but that is how they have always done it. My previous group covered for each other (4 docs vs the current 2) and I billed out who delivered- They split the reimbursements in quarters with each taking equal shares (they had the obs rotate) so it seemed more legit and easier to comply with. I guess it depends on who you work for.

Similar Threads

  1. Ob patient delivered by covering doc
    By mconnolly in forum OB/GYN
    Replies: 2
    Last Post: 04-18-2013, 01:02 PM
  2. Modifier for covering doc
    By MnTwins29 in forum Modifiers
    Replies: 2
    Last Post: 06-12-2011, 06:27 AM
  3. modifier for covering doc??
    By adccouch in forum Modifiers
    Replies: 3
    Last Post: 02-07-2010, 11:09 PM
  4. Covering Doc
    By Hopp in forum General Surgery
    Replies: 1
    Last Post: 06-29-2008, 05:39 AM
  5. New Pt for Doc covering
    By janetmoh in forum E/M
    Replies: 1
    Last Post: 02-27-2008, 08:49 AM

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.