group practice

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    Wiki Merging Behavioral Health with Medical Practice

    Hello All, I have a multi-part question. I am assisting a practice with credentialing. This practice group has a tax ID and a group NPI. Originally this group was only behavioral health ( therapists, social workers etc), there was no rx services and no medical procedures, just talk therapy...
  2. R

    Wiki NEW or ESTABLISHED PATIENTS IN A GROUP PRACTICE

    This is a group practice with Obgyn and Maternal Fetal Medicine subspeciality. Patients are scheduled among the 4 office locations depending on their medical needs. The doctors circulate among the 4 locations There is one central EMR with patients database. Each facility has its own identifying...
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    Wiki Modifier -24 Different Specialty Same Group

    Hello, I work in a group orthopedic & spine practice. We have a patient that had surgery on their knee (orthopedic surgeon) and then has been seen by a physiatrist for back pain during the global period for the knee surgery. Would you bill the physiatrist E/M with a -24 modifier or with no...
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    Wiki Same practice, Different Specialties: Can you bill for consultation?

    I have a PCP who works with a Cardiologist sometimes. The PCP wil "refer" to the Cardiologist (same tax ID) and the Cardiologist will bill for the procedures and a "consultation." There is, of course, the medical record which could serve as the report. But is this appropriate? Thanks, Lin
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