tci ED Coding & Reimbursement Alert - 2006 Issue 2

READER QUESTIONS: Steer Clear of Sketchy Rx

Question: A private physician calls the ED physician to tell her a patient is coming in who needs medication X. The patient registers and receives meds from the nurse. The ED physician never sees the patient, and the patient receives no nursing assessment. We bill for the drugs, but Patient Financial Services writes off the cost because they can't submit a bill just for drugs (without a license). How should we really handle this?Wisconsin Subscriber Answer: This practice sounds fishy for multiple reasons. For starters, the ED physician is risking his license because patients are receiving medication with...

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