tci ED Coding & Reimbursement Alert - 2005 Issue 12

READER QUESTIONS: Need Documentation for Shared Encounter

Question: I understand that we can bill for shared encounters (between the ED physician and a mid-level provider) under the physician's PIN if the physician documents a -clinically meaningful face-to-face encounter.- Our group uses the T-system, and in a situation like this, how would an auditor discern who made the marks? How can we document this kind of encounter sufficiently?Indiana Subscriber Answer: Don't rely on defending -who made the marks- when deciding whether you can use the physician's personal identification number (PIN). Instead, concentrate on getting an attestation from the physician showing that he had a meaningful...

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