Wiki Transfer care with in same Ortho practice

[lmcreynolds@aoamail.net]

I have a patient was in an accident and was seen in the hospital by a doctor in our group. The doctor did not operate on the patient, only consulted on the patient's fractures. The fractures are going to be treated conservatively so the doctor charged the 3 corresponding fracture codes without manipulation. The patient has had 2 post op/follow up appointments with this doctor. Now the patient doesn't like this doctor and wanted a 2nd opinion from another doctor in the same group, same tax ID #. Is there anything that can be charged like an office visit for a 2nd opinion for the 2nd doctor? I don't feel like we can do a corrected claim on the first doctor's fracture charges as the patient did follow up twice with him. Any advice would be much a appreciated. Thanks.

 

[iowagirl77]

I was researching a similar issue recently. I did see where it was suggested that some practices may have an internal agreement to split up fracture care payment received from insurance, so no change in billing. The only other thing I can think of is to request a refund on the original billing of fracture care and change to billing E/Ms instead since no manipulation or surgery was required.

 

[lmcreynolds@aoamail.net]

Thanks so much for your advice.