DecisionHealth, DecisionHealth - 2010 Issue 10 (October)
Ask a Part B News Expert
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.
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