Wiki Help reporting co-managed care!

cherylbr

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Our physician (Provider A) is providing surgery and 45 days of post operative care. He then is transferring care to another provider (Provider B).



When reporting for our physician (Provider A) I will report the claim for surgery with modifier 54 on the first line.

When reporting for our physician (Provider A) I will report the claim for post op care on a second line with the proper date span on line 2 of the claim with modifier 55.

Here is my question:

Must I wait till the ending date of our post operative care provided by our physician (Provider A) is complete before submitting my claim? And, can I send two separate claims for the surgery and post operative care or must the claim have both items reported on the same claim which would mean Provider A should wait to submit his claim till he has transferred care to Provider B?

Your help is greatly appreciated!
 
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