tci General Surgery Coding Alert - 2005 Issue 7

Reader Questions: Payers Treat Group Practices as 1 Provider

Question: If surgeon 2 in our group practice provides post-op care for a patient whom surgeon 1 operated on, can surgeon 2 bill for his services? North Carolina Subscriber Answer: Payers will treat two physicians within a practice as one when caring for a patient. Therefore, when one physician from a practice performs an operation and another physician from the same practice performs the postoperative follow-up, you may not report the follow-up care separately.But if one physician from a practice performs an operation, and a second physician from the same practice needs to take the patient back to...

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