Forum - Questions & Answers

Jan 17th, 2013 - terrim68 14 

e/m visit office and inpatient admission

if a physican sees a patient in the office and on the same date the patient is admitted to hospital by a different physican same group ,can both physicians bill for their e/m service?

Jan 17th, 2013 - nmaguire   2,606 

re: e/m visit office and inpatient admission

Not if same specialty

Jan 17th, 2013 - terrim68 14 

re: e/m visit office and inpatient admission

thanks,is there by chance something that i can print out or quote from to support that?

Jan 17th, 2013 - nmaguire   2,606 

re: e/m visit office and inpatient admission

The Medicare Claims Processing Manual states:
"Physicians in the same group practice who are in the same specialty must bill and be paid as though they were a single physician. If more than one evaluation and management (face-to-face) service is provided on the same day to the same patient by the same physician or more than one physician in the same specialty in the same group, only one evaluation and management service may be reported unless the evaluation and management services are for unrelated problems.
Instead of billing separately, the physicians should select a level of service representative of the combined visits and submit the appropriate code for that level."



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