AR2728
Expert
Here's my situation:
Our hospital has a wound clinic, they have a designated office area in the hospital which these visits are performed, therefore, they bill with POS 11. The physician does not provide his own staff, the hospital staffs the office. Our doctor has began to treat patients there and there is argument over whom should be billing the dressing/strapping application CPT. The hospital billing department has always billed for the application CPT such as 29580, the provider is ordering this service, but their staff is actually applying. This makes sense to me, as the staff is owned by them, paid by them and providing the service. My provider states that he can bill the 29580 also-that he is ordering it and should receive credit for doing the professional component of this service. Essentially-credit for ordering it even though he the staff is not his own. I have ongoing issues with this particular provider wanting to bill for everything regardless of what documentation I provide to him, so I need some backup and assistance unless I'm totally wrong here.
Would appreciate some feedback, as I'm totally exhausted and exasperated!
Our hospital has a wound clinic, they have a designated office area in the hospital which these visits are performed, therefore, they bill with POS 11. The physician does not provide his own staff, the hospital staffs the office. Our doctor has began to treat patients there and there is argument over whom should be billing the dressing/strapping application CPT. The hospital billing department has always billed for the application CPT such as 29580, the provider is ordering this service, but their staff is actually applying. This makes sense to me, as the staff is owned by them, paid by them and providing the service. My provider states that he can bill the 29580 also-that he is ordering it and should receive credit for doing the professional component of this service. Essentially-credit for ordering it even though he the staff is not his own. I have ongoing issues with this particular provider wanting to bill for everything regardless of what documentation I provide to him, so I need some backup and assistance unless I'm totally wrong here.
Would appreciate some feedback, as I'm totally exhausted and exasperated!
