tci Medicare Compliance & Reimbursement - 2006 Issue 43

PHYSICIANS ~ For Billing Consults, This Is Not The 'Sharing' Season

A consult shared is a problem doubled. False: You can have a nurse practitioner (NP) or physician assistant (PA) come in and start off a consult. The NP or PA can do the work up and ask the patient some questions, and then the doctor can come in afterwards and review their work. You can bill this as a consultation.True: Medicare doesn't allow you to bill consults as "shared visits," says consultant Maggie Mac with Pershing Yoakley & Associates in Clearwater, FL. When a doctor asks for a consult, he or she is seeking only your physician's...

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