I work in an Urgent Care and we have patients come in with injuries that involve a possible break in a bone. We do an E/M and take x-rays, sometimes apply a splint and then often they are referred on to an orthopedic. We bill all of our charges out and then get a denial on the E/M stating that the same service was paid to a different provider. The ortho and our office are both billing for the E/M. We both did the work but only one of us is getting paid. Is there a way to bill this so that we both get paid for the work that we did?