tci Part B Insider - 2004 Issue 6

Routine EKGs: Two Readings, One EKG - Who Bills?

Cardiologists and emergency physicians tussle over paymentsA patient comes into the emergency room, and the emergency physician orders a routine electrocardiogram and then interprets it. Some time later, the hospital cardiologist also looks over that EKG and tries to bill for the interpretation.The problem is, Medicare and many other payers will only cover one interpretation of a routine EKG. "That's kind of a long-time issue with emergency physicians," says Laura Siniscalchi, a senior consultant with Deloitte & Touche in Dover, Mass. "They're usually providing the immediate service to the patient, but usually it's over-read by the cardiologist...

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