AAPC - Back to school
Results 1 to 2 of 2

Thread: Inpt : Providers completing visits for former providers

  1. #1
    Join Date
    Apr 2007

    Default Inpt : Providers completing visits for former providers

    AAPC: Back to School
    Does any one have an answer for this or has encountered anything like this before? And if so, any guidelines or more information?

    We had an encounter of Providers signing and completing as Surrogates for providers who are no longer employed with the company after the fact. At times the providers would be out for a month to months at a time and return. Is this legal? How would auditors interpret this issue? What do we need on file?

    please help......

  2. #2
    Join Date
    Apr 2007
    White Plains, NY


    I need to know a little more. In order to determine appropriatness fo billing, is this "surrugate" provider being paid a daily rate for coverage (Locum Tenens) or is the provider is actually substituting completely for the provider.

    But also - if the provider is no longer employed - neither of these scenarios could apply. Not coding regulation: contract law.




Similar Threads

  1. 2 Visits, 2 different Providers
    By Valerie813 in forum E/M
    Replies: 5
    Last Post: 04-01-2011, 06:44 AM
  2. providers that perform inpt e/m services
    By valleycoder in forum Billing/Reimbursement
    Replies: 2
    Last Post: 03-17-2011, 03:06 PM
  3. Replies: 6
    Last Post: 02-01-2011, 08:47 AM
  4. Replies: 1
    Last Post: 11-17-2010, 03:36 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.