tci Medicare Compliance & Reimbursement - 2022 Issue Q3

Reader Questions: Conquer Shared Service Billing Rules With This Advice

Question: The physician and the nurse practi­tioner (NP) both saw a patient during a follow-up visit. The notes in the patient record say that the physician performed the physical exam, the NP interviewed the patient regarding history, and they both participated in medical decision making (MDM). The NP’s record of events matches that of the physician, and the physician signed it. In terms of time spent, the physician spent more than half the total time with the patient and performed the substantive portion of the service, yet a colleague is telling me we can’t bill for...

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