Pam Warren
True Blue
Hi, I oversee the coding department for a facility that employs a hospitalist group. They would like to begin using mid-levels to perform Initial Hospital Services (in this case, admissions).
The issue is that they want to also bill for same-day Hospitalist (MD) services prior to the admission; the MD hospitalist has made the decision to admit, but brings the mid-level in to do the H&P. After I explained that we cannot bill two Hospitalist services for the same day, and went over the other scenarios we can/can't do (shared visits, concurrent care, etc.), the hospitalist director insists that this is being done nationwide. It may very well be, but I'm not sure who is able to get away with billing both services.
Anyone out there who is billing a hospitalist MD visit and a hospitalist mid-level visit on the same day (related to the admission?) Thanks! Pam
The issue is that they want to also bill for same-day Hospitalist (MD) services prior to the admission; the MD hospitalist has made the decision to admit, but brings the mid-level in to do the H&P. After I explained that we cannot bill two Hospitalist services for the same day, and went over the other scenarios we can/can't do (shared visits, concurrent care, etc.), the hospitalist director insists that this is being done nationwide. It may very well be, but I'm not sure who is able to get away with billing both services.
Anyone out there who is billing a hospitalist MD visit and a hospitalist mid-level visit on the same day (related to the admission?) Thanks! Pam