Forum - Questions & Answers

Aug 13th, 2020 - trixiecane   

peer to peer

can we bill code 99446 from our doctor to insurance doctor or any other doctor? or ma /pa

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Aug 17th, 2020 - ChrisW   182  1 

re: peer to peer

These codes are intended for use with insurance, claiming time spent on patient care. Physicians are ethically and legally obligated to disclose medical information to a treating physician with informed consent, however, this time spent can be reported by the treating physician for reimbursement by the payer. NOTE: Be sure to contact the payer to ensure the payer policy allows payment for services such as consultations, many payers will not pay for consults.

Other considerations
Medical Record FEES: Each State has its own rules based on each state’s legislation for medical record copying fees, refer to your state for a reasonable cost-base fee for time spent.
HIPAA laws may also differ state to state, be sure to visit HHS.gov for any HIPAA rules that may apply.
This is not to imply payment or non-payment if anyone has additional feedback on this subject please let us know.

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