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Project Description:
We opened a vascular access center and I have an E&M question. Our docs do a complete evaluation and management of the patient to make the determination on whether to perform the surgery or not. The nephrologist surgically creates the AV graft and our docs manage the patient's graft. The patient's go to have dialysis and the patient cannot be dialized that day due to a malfunction of graft. The nurse from the dialysis center calls our vascular center and sets up an appt for our docs to evaluate the graft. Depending on the full exam etc...and looking at the graft determines whether the docs do interventional means or send them back for surgical interventiona to their PCP. My question is if our docs are taking over complete care or assuming responsibility of the graft and treatment of the patient can we bill that E&M prior to the intervention? Our docs do a full blown E&M with good documentation.
Thanks in advance for all your help.
Project Description:
We opened a vascular access center and I have an E&M question. Our docs do a complete evaluation and management of the patient to make the determination on whether to perform the surgery or not. The nephrologist surgically creates the AV graft and our docs manage the patient's graft. The patient's go to have dialysis and the patient cannot be dialized that day due to a malfunction of graft. The nurse from the dialysis center calls our vascular center and sets up an appt for our docs to evaluate the graft. Depending on the full exam etc...and looking at the graft determines whether the docs do interventional means or send them back for surgical interventiona to their PCP. My question is if our docs are taking over complete care or assuming responsibility of the graft and treatment of the patient can we bill that E&M prior to the intervention? Our docs do a full blown E&M with good documentation.
Thanks in advance for all your help.