I have a two doctor OB/GYN clinic that also performs GYN surgery. If the patient needs a hysterectomy (58270) and urinary suspension (sling) repair (57288), one doctor will do the hysterectomy and the other will assist him. Then the other doctor will do the sling with the first doctor assisting. Both doctors are able to do both surgeries, but they split this up to gain more reimbursement (around $350.00). Is this compliant? We're getting paid by Medicare and other payers, but I feel that it is wrong.
To read the full article, sign in and subscribe to the DecisionHealth Newsletters.
Official DecisionHealth® Newsletter Archives includes:
Includes over 25,000 articles from:
Coder Pink Sheets
Part B News
Answer Books newsletters
Current newsletters added each quarter
Timely news and guidance vital for your practice
Fully searchable through Find-A-Code's Comprehensive Search
Codes mentioned in articles are linked to the Find-A-Code Code Information pages
Code Information pages link back to related articles
Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
DecisionHealth Coding, Billing and Compliance Library