tci E/M Coding Alert - 2015 Issue 4

You Be the Coder: Prepare for Denial When 2 Physicians Claim Consult on Same Day

Question: We are a large group with all the physicians billing under the same tax ID. One of our physicians does procedures that none of the other doctors in our group are able to do. The scenario is: Another physician sees a patient in the hospital and decides that he needs one of these procedures that only one surgeon does and they call him in to consult. He sees the patient to determine that she indeed needs this procedure, does a complete work up, and then bills a consult on the same day the other physician is billing for...

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