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Billing Incident to Services-Whose Number Should Be Used?
Should You Bill Incident to Services for a Medicare Patient Under The Number of the “Supervising Physician” or the “Ordering Physician”?
This issue was first clarified in the preamble of the 11/1/01 Federal Register (available here on p. 23 of the file, p. 55267 of the document):
Comment: Several commenters requested that we clarify and distinguish between the physician (or other practitioner) ordering the incident to service and the physician (or
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Late-Night Admissions by a Resident
A resident sees a patient at 10:00 PM on Day 1 and admits the patient to the hospital. The teaching physician sees the patient the following morning on Day 2. Can the resident service from Day 1 be combined with the TP service on Day 2 when billing based on Medicare's teaching physician guidelines? This article answers this question.
Until Medicare released Transmittal 2247 on June 24, 2011 (later replaced by Transmittal 2303 to add additional clarifications), the answer to the above question
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Pre-op visits: True or False?
Are the following statements true or false?
• The PCP cannot be paid to do a pre-op assessment of a Medicare patient prior to surgery because of the new consult rules.
• The surgeon can never be paid to do a pre-op visit if s/he is going to take the patient to surgery.
• The surgeon can bill and be paid for an office visit for the purposes of a pre-op H&P after the decision for surgery is made, but before the surgery itself, if the hospital requires it.
All of these statem
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