tci Part B Insider - 2016 Issue 23

Part B Coding Coach: Dual-Provider Coding For E/M Services

Here’s the difference between ‘concurrent,’ ‘duplicative.’ If your physician performs an evaluation and management (E/M) service for a patient on the same day as another physician, you’ll need to know the rules of concurrent care to file your claim correctly. Nuts and bolts:  Concurrent care occurs when two physicians perform separate E/Ms on the same patient on the same date of service. If the patient’s condition warrants the care of two (or more) physicians, you’ll both be able to code for individual E/Ms based on encounter notes. There are several factors...

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