tci General Surgery Coding Alert - 2000 Issue 9

Avoid Billing Errors When Surgeons Need Substitutes

Surgeons temporarily unable to care for their patients have two billing options: Enter into a reciprocal billing arrangement with one or more other surgeons, whereby the substi- tuting surgeon performs the service but the original surgeon bills for the service; or Provide services to each others patients and bill for each service or procedure performed. The advantage of the first option reciprocal billing is that the surgeon who temporarily is unavailable still gets paid for his or her Medicare patients care. For the substituting physician, the benefit is that a new billing account need not be opened for a...

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