Forum - Questions & Answers

Oct 6th, 2011 - swalker216

Office consult and admit on same date

Can a physician see a pt in the office, charge a consult and direct admit that pt
and the on call Dr get paid for admission on the same day. Both Drs are in the same practice.

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Oct 6th, 2011 - jschmutz   323 

re: Office consult and admit on same date

No. You either bill the consult or the admit.

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Oct 7th, 2011 -

re: Office consult and admit on same date

If it is a separate physician, that bills under separate Tax Id, then he can get paid..he has never seen the patient before. But if the physicians bill under the same Group information, the Admit cannot be billed the same day that the "Group" provided a consult.

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Oct 10th, 2011 - Codapedia Editor 1,399 

re: Office consult and admit on same date

Only one E/M per physician (or partner of the same specialty, same group) per day.

If the MD was in internist and the pulmonary doctor did the admission, both would be paid.

Some of the commercials will deny for coverage: IM doctor from practice A sees patient in office, sends to hospital, IM covering doctor from practice B does admission: the commercials see it as covering and only pay for one.

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