Forum - Questions & Answers

Sep 21st, 2012 - precod 10 

Only one visit or consultation per physician per day is covered

Medicare is denying only one visit or consultation per physician per day is covered.

I have a clarification here:

1. If the physician's primary specialty is different and sub specilaty is same still Medicare will deny the claim?

2. If the physician's primary specialty is different but belongs to same group, sub specilaty is same still Medicare will deny the claim?

Please advise on this

Sep 22nd, 2012 - Codapedia Editor 1,399 

re: Only one visit or consultation per physician per day is covered

What specialties and subspecialties specifically? Sometimes, what we think of as a subspecialty designation isn't designated that way by Medicare.

Same diagnosis code?

Coverage?

Sep 24th, 2012 - precod 10 

re: Only one visit or consultation per physician per day is covered

For example if the physician has cardiology and Internal Medicine as their specialties, the physician must be having cardiology as primary specialty and Internal Medicine as sub specialty.



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