bettze1947
Guest
I have found the following scenario when auditing for our pulmonologists: patient admitted to hospital, pulmonary consult is requested and done. The consult report states patient will need a bronch.
Q 1. Does there need to be a request in the medical record from the attending
physician for the Bronch to be performed after the consult
Q 2. The bronch is usually done the next day, but the Pulmonologist is billing for a
Subsequent Hospital Visit on the same day as he does the Bronch. The
Subsequent Visit isn't made for a diffferrent DX or to make the decision for the
procedure. Can the same Dr. (pulmonologist) bill for a Subsequent Visit and
perform the Bronch on the same day and be paid for both when the DX code
is the same? Wouldn't the visit be considered global to the Bronch?
I need to be able to cite an authoritative source and I can't find one.
Q 1. Does there need to be a request in the medical record from the attending
physician for the Bronch to be performed after the consult
Q 2. The bronch is usually done the next day, but the Pulmonologist is billing for a
Subsequent Hospital Visit on the same day as he does the Bronch. The
Subsequent Visit isn't made for a diffferrent DX or to make the decision for the
procedure. Can the same Dr. (pulmonologist) bill for a Subsequent Visit and
perform the Bronch on the same day and be paid for both when the DX code
is the same? Wouldn't the visit be considered global to the Bronch?
I need to be able to cite an authoritative source and I can't find one.