decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Concurrent_Care / Medicare_s_concurrent_care_decision_making
Subscribe or sign in to view the full article.
Article Overview
This short Find-A-Code article discusses Medicare’s general approach to concurrent care decision making. It is aimed at coders, billers, and compliance-minded clinicians who need a high-level understanding of when multiple physicians may be involved in a patient’s treatment and how Medicare reviews those situations. The article also references Medicare manual guidance and briefly notes the use of evaluation and management coding in certain medically necessary concurrent care scenarios.
Why This Topic Matters
Concurrent care can raise payment and medical necessity questions when more than one physician is involved. Understanding Medicare’s general review focus helps billing staff recognize when overlapping specialties, multiple conditions, or post-procedure involvement may warrant closer review.
What You Will Learn
- How Medicare generally evaluates concurrent care situations
- Which broad clinical and specialty-based factors Medicare considers
- Why overlapping specialties may receive closer review
- What kinds of concurrent care scenarios may be scrutinized more carefully
- How the article frames concurrent care in relation to evaluation and management coding
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Physician office staff
- Revenue cycle professionals
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com