Wiki Transfer of Care

[NCCoder]

I have a situation that involves transfer of care and was just wondering how someone else would see this...Medicare pt

Dr. X is at one hospital and wants to transfer care to Dr. Y at another hospital for a procedure and Dr. X and Dr. Y are billed under the same practice. Dr. X wants to charge "discharge" (99238 - pt is inpt) and Dr. Y is charging 99221 for initial inpt. If I bill for the discharge this will deny as dup??
Advice???

Thanks

 

[Jagadish]

If the DOS is same, we cannot bill both 9922x and 99238. Only 9922x should be billed. If billed on two separate dates of service both can be billed.

 

[NCCoder]

Thanks for the response. That's what I was thinking

 

[Jagadish]

Face-to-face professional service is the key here. Should be billed as an established patient to be compliant.