decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 8 (August)
Co-managing with another physician: How to use modifiers 54 and 55
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Article Overview
This article covers how co-management billing is handled when one physician performs a surgery and another provides postoperative follow-up care. It is aimed at clinicians and billing staff who need a general understanding of modifier-based split billing in a Medicare-related scenario, including the types of fee allocation concepts discussed in the article.
Why This Topic Matters
Understanding this topic helps practices recognize when shared surgical and postoperative care arrangements affect professional billing and coordination between providers.
What You Will Learn
- How co-management between physicians is described in a surgical setting
- How the article frames the division of surgical and postoperative billing responsibilities
- What general Medicare-related payment concepts are discussed in the context of shared care
- How the article presents follow-up care billing in a co-managed scenario
Who Should Read This
- Physicians
- Urologists
- Gynecologists
- Medical coders
- Billing staff
- Practice managers
Codes Discussed
Modifiers Discussed
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