Medicare Compliance & Reimbursement

Know the Concurrent Care Rules for Billing Subsequent Hospital Services

MACs focus on diagnosis and specialty to differentiate concurrent care. If you perform an E/M service for a patient on the same day as another physician, be certain that your claim is valid, medically necessary, and specialty specific or you run the risk of a denied claim. Nuts and bolts: Concurrent care occurs when two physicians perform separate E/Ms on [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more