tci Medicare Compliance & Reimbursement - 2014 Issue 11
Reader Question: Learn When Multi-Provider Visit Could Be Shared Service
Question: My physician and a physician’s assistant visited the same patient in the hospital on the same day. Can I bill this as a shared service? Answer: The answer is yes, if the documented services meet the Medicare rules for collaborative shared services. This means that the NPP provided the history, exam and MDM and the physician then also provided face-to-face service while documenting a critical portion of the service related to the patient’s chief complaint. Example: The service provided by the NPP was part of a pre-round for the physician. Then the physician can focus on...
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