tci Medicare Compliance & Reimbursement - 2008 Issue 14

Part B Success Story: Different Specialists May Warrant 2 Same-Day Consults

One practice reports success after deliberations with a Medicare payer If you've ever battled Medicare over consult payments, you know how difficult collecting that reimbursement can be. But when you're fighting your carrier to collect for two consults performed in the same practice on the same date, you're really facing an uphill battle. Here's the story from one tenacious office manager who triumphed over Medicare. Many practices report that Medicare carriers hold fast to their belief that "physicians in the same practice who are in the same specialty must bill and be paid as though they were a single...

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