tci Medicare Compliance & Reimbursement - 2005 Issue 20

PHYSICIANS: Medicare Makes It Clear- Consults A 1-Doctor Affair

A consultation is a single physician's opinion, not a consensus.Consults are hard work, and physicians may be tempted to share the load. But consulting physicians should do all of the work themselves, according to the Centers for Medicare and Medicaid Services.CMS is revising the Medicare Carriers Manual to clarify that physicians doing inpatient consults can't bill for a "shared visit," say CMS officials. Physicians should report shared visits to bill for E/M services jointly performed by a physician and a non-physician practitioner under the physician's provider number.There's currently nothing in writing that says a doctor...

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