AAPC - Back to school
Results 1 to 4 of 4

Thread: Which doc gets the credit?

  1. #1
    Join Date
    Apr 2007
    Madison, WI

    Exclamation Which doc gets the credit?

    AAPC: Back to School
    We have a patient that came in the office and saw a physician in the AM, then came back to Urgent Care and saw a second physician(same group) for the same complaint later in the day. I realize we can only bill one visit for that day, but which physician should get the credit?

  2. #2
    Join Date
    Apr 2007
    Covington, LA


    That will be an administrative decision. Was the disposition the same? Did one physician perform more work then the other?

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Our office protocol

    You should have an office protocol in place to deal with these situations.

    In our office, the first provider gets the entire credit every time. Over the course of time, it evens out.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. #4


    I agree with FTessaBartels, a standard office protocol is needed for these situations. I also agree that the first provider would get the entire credit, regardless of additional work being performed by the second provider.

    I would think of it as PM Provider bundles into the visit of AM Provider just like a procedure may bundle into another. You can't choose which procedure you want to bill based on reimbursement, you would have to bill the procedure that is considered 'primary'. In this case that would be the visit performed by the AM Provider.

    This probably only made things more confusing, and I am sure this can be explained better. But I hope this helps!
    Tracey Thompson, CPC, CPPM

Similar Threads

  1. Training a Doc on E&M Doc.
    By Viper66 in forum E/M
    Replies: 1
    Last Post: 07-02-2010, 11:39 AM
  2. ER Doc and Ortho Doc Fx Care
    By kristinab in forum Orthopaedics
    Replies: 1
    Last Post: 06-25-2010, 03:05 PM
  3. 1st doc can't complete DRE,2nd doc bills how?
    By uhlerclarem in forum E/M
    Replies: 1
    Last Post: 08-13-2009, 07:22 AM
  4. Credit for this?
    By Gemini18 in forum E/M
    Replies: 2
    Last Post: 06-04-2009, 11:19 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.