tci ED Coding & Reimbursement Alert - 2012 Issue 2

Reader Question: The CMS Shared Services Documentation Exemption Only Applies to E/M Services

Question:If an emergency physician sees a patient and performs an ED E/M service, but has a Non Physician Provider come in to perform a laceration repair and both provider's properly document in the chart, and sign the chart, do the E/M and procedure get billed under the physician, or does the E/M get billed under the physician and the procedure under the Non Physician Provider? Also, does it make a difference depending on the payers the bill is being sent too? Texas SubscriberAnswer:The physician can't bill for a procedure performed by the NPP. The changes from Transmittal 1776 and...

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