Wiki Question on how Medicare pays on multiple E&Ms on the same claim.

[nrichard]

I know that Medicare has a graduated reimbursement schedule for multiple line items . I know this is typically for surgeries; does this also apply to multiple E&M service dates listed on the same claim? I'm wondering this because several of my hospitalists report their services this way and I thinking by putting multiple line items on the same claim that they may unintentionally cutting their reimbursement.

 

[mitchellde]

Are you talking multiple E&M on the same day? for a provider they get only one. Are you talking several visits over time on one claim? these are not discounted so long as the from and thru dates are different.

 

[nrichard]

Thanks for your response

Yes there are different dates of service. I was able to finally get a hold of my Medicare rep for this info too.