decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Concurrent Care / Overview
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Article Overview
This short article explains the general issue of concurrent care and why it can trigger claim denials when more than one physician treats the same patient on the same day. It also introduces Medicare’s use of specialty and subspecialty information in reviewing whether multiple physicians’ services are necessary, with relevance for clinicians and coders working in anesthesia-related settings.
Why This Topic Matters
Understanding concurrent care review helps billing and coding teams recognize why same-day services by different physicians may be scrutinized and how specialty designations can affect claim processing.
What You Will Learn
- What concurrent care means in a general claims-review context
- Why same-day treatment by multiple physicians can lead to denials
- How Medicare specialty and subspecialty information factors into concurrent care review
- Why concurrent care may be relevant in anesthesia-related services
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Anesthesia practices
- Revenue cycle professionals
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