Initial Hosp Care when a Patient is transferred from one hosp to another

This question is due to the 2010 decision by Medicare not to recognize the consulation codes. We are a group of cardiologists. So given the fact that we have to use initial hospital care cpts (99221-99223) for in-patient consultations instead of the consultation cpts (99251-99255) for Medicare patients...If one of our cardiologists sees a patient at hospital one and then transfers the patient to hospital two (hospital two has a different tax id) for higher level of care and then another one of our cardiologists (same physician group tax id) sees the same patient the next day, can the second cardiologist bill an initial hospital care cpt (99221-99223) at the second hospital? It is, in fact, the first or initial time the second cardiologist is seeing the patient during this now new admission to the second hospital that has a different tax id from the first hospital. I believe I remember during a Medicare webinar recently, that the Medicare rep said the initial hosp care cpts (99221-99223) woudl be approriate at both hospitals. Does anyone know?

Inintial hospital care/transfer

Neither the transmittal nor the med learn matters article was specific or detailed enough for us to answer this definitively.

In the past, when this happened, were your cardiologists able to each bill a consult, one at each hospital, and get paid? If they could, I suspect they will be able to, again. If the second consult denied after the transfer, then I think the second initial code will, as well.

Can I ask a favor for the community? When you have one of these and you get it paid (hopefully) or denied (boo) or paid on appeal (better), will you report back and let us know? And, tell us who your MAC is, if you don't mind when you hear.