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tci Part B Insider - 2006 Issue 8
CO-MANAGEMENT: Don't Fall Into An Unpaid Coordination Trap
For coordinating physician, underlying diagnosis may be key to paymentWhen two physicians treat the same problem concurrently in the hospital setting, it can be tricky to make sure both physicians get paid. (See PBI, Vol. 5, No. 41.) But it can be even trickier when a primary care or trauma physician coordinates a patient's care. Example: A patient comes into the emergency room after a car accident. A trauma surgeon is called in to look after the patient, but the patient doesn't require surgical care. The patient does need an orthopedist and a neurologist, so the trauma surgeon...
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Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
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