Wiki Seeing two docs same day

[littlelora]

So I know what I think the answer is, but, I'm looking for some guidance on this. We have a sports med doc who does not do surgeries, and we have two ortho surgeons. We had a patient in the office who saw the sports med doc to go over MRI results, and that turned into you have a tear, and my need surgery. Sports med doc had the patient then see the surgeon in the office for a consult, the same day, within 30 minutes of each other. Now, my question is, do I bill the visit for the surgeon, who is consulting the patient and possibly doing an H&P and setting up a surgery date, OR, do I bill the visit with the sports med guy since he went over the results, and decided she may need the surgery? Thanks for any help you can give!

 

[Orthocoderpgu]

This comes down to how the ortho docs are credentialed.

I have the same issue in three clinics that I code for. This will come down to how the physicians are credentialed. The two physicians who both saw the patient on the same day can bill separate E/M visits if one of them is credentialed as a specialist. If both docs are using the same tax identification number, then only one can bill.

 

[littlelora]

They are using the same tax ID, and both are credentialed as MD's. So, billing for only one is what I thought the right answer was, since they are under the same tax ID. Thanks for the help!