Medicare Compliance & Reimbursement - 2006 Issue 8
CO-MANAGEMENT: Don't Fall Into An Unpaid Coordination Trap
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Article Overview
This article discusses hospital co-management and physician payment concerns when multiple doctors are involved in the care of one patient. It focuses on the general documentation, coordination, and diagnosis-based considerations that affect whether a coordinating physician can also be paid. The piece is aimed at physicians, coders, and compliance staff who need to understand how concurrent care is described and supported in the hospital setting.
Why This Topic Matters
Understanding co-management billing helps avoid unpaid coordination work, documentation problems, and potential compliance risk when several physicians are involved in a patient’s hospital care.
What You Will Learn
- How co-management situations can affect physician reimbursement in the hospital setting.
- Why documentation and distinct responsibilities matter when more than one physician is involved.
- How diagnosis selection and follow-up care may relate to coordinating physician billing at a high level.
- What kinds of compliance risks can arise when coordination is billed without supporting services.
Who Should Read This
- Physicians
- Hospitalists
- Trauma surgeons
- Specialists involved in inpatient care
- Medical coders
- Compliance staff
- Physician practice managers
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