I bill for a doctor that provides services @ a hospital owned wound clinic. He is not contracted by them and he bills his services separately. The service in question is code 15340. The doctor is applying the apligraf...not the nurse. The nurse is employed by the hospital. The doctor billed for the 15340 only and was paid by Medicare. The hospital billed a 99211, 15340 and Q4101. The hospital was paid as well as the doctor. Medicare is requesting a refund from the doctor stating "procedure/service was partially or fully furnished by another provider". I understand this edit but my question is how can the hospital bill for the 15340? They should bill for the 99211 and supply (Q4101) ONLY. Shouldn't Medicare request a refund from the hospital?
M Hipp