jdibble
True Blue
This question is in regards to billing for face-to-face Prolonged services. My Hospitalists have questioned how they should bill for services as follows:
A patient is admitted in the early hours of the day - 12:00am - 1:00am lets say. The Hospitalists will see the patient at this time and do the Initial Inpatient visit. Another Hospitalist (the day shift) will see that patient later in the day, say around 4:00pm for a subsequent visit. A subsequent visit would not pay as only one E/M per day is billable. One of my Hospitalits has been using the Prolonged services codes for these visits and says that she believes where she worked before they were paid for these codes. Medicare is denying this stating that they need the original E/M code. The Intial visit is billed under another Hospitalists name, but same tax ID. How would you code this scenario?
Any thoughts on this would be great! My Hospitialists are all concerned about how to capture the individual work that they are doing for these patients as they are compensated based on the RVUs they generate!
Thanks,
A patient is admitted in the early hours of the day - 12:00am - 1:00am lets say. The Hospitalists will see the patient at this time and do the Initial Inpatient visit. Another Hospitalist (the day shift) will see that patient later in the day, say around 4:00pm for a subsequent visit. A subsequent visit would not pay as only one E/M per day is billable. One of my Hospitalits has been using the Prolonged services codes for these visits and says that she believes where she worked before they were paid for these codes. Medicare is denying this stating that they need the original E/M code. The Intial visit is billed under another Hospitalists name, but same tax ID. How would you code this scenario?
Any thoughts on this would be great! My Hospitialists are all concerned about how to capture the individual work that they are doing for these patients as they are compensated based on the RVUs they generate!
Thanks,