tci Part B Insider - 2004 Issue 41

Consults: When 2 Docs Collide, One Admits Patient and One Admits Defeat

Warning: the distinction is not always obviousWhen two physicians each have reason to believe they are the admitting physician, which one should be allowed to bill for the initial hospital visit? The answer could surprise you.This question has caused confusion and payment problems for many physicians. Part B carrier HealthNow NY warned that some physicians who should have been billing for consults were billing for admissions instead (see PBI, Vol. 5, no. 38, p. 276). "Providers who were rendering a consultation did not bill the appropriate consult code; they billed an admission code," HealthNow said. "We have...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.