tci Medicare Compliance & Reimbursement - 2016 Issue 8

Reader Question: When Multiple Providers Treat a Patient,Who Reports the Discharge?

Question: Our patient has a complex health history, and is therefore under treatment from four different practices simultaneously. Recently she was admitted under observation care for a day. When our practice billed the discharge code, we were denied. We learned that one of the other practices billed for the service first. Should that practice’s provider split the payment with all of us? Answer: Several physicians might be managing the care of a patient, and all might try to bill for the discharge — but only the attending physician should collect for it, CMS indicates. MLNMatters article MM5794 notes...

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