tci Part B Insider - 2008 Issue 12

PART B SUCCESS STORY: Different Specialists May Warrant Two Same-Day Consults

One practice reports success after deliberations with a Medicare payerIf you-ve ever battled Medicare over consult payments, you know how difficult collecting that reimbursement can be. But when you-re fighting your carrier to collect for two consults performed in the same practice on the same date, you-re really facing an uphill battle. Here's the story from one tenacious office manager who triumphed over Medicare.Many practices report that Medi-care carriers hold fast to their belief that -physicians in the same practice who are in the same specialty must bill and be paid as though they were a single physician-...

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