lcouto
Networker
Can my doctor who is a Cardiologist refer to an Interventionalist within the same group?
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- Thread starter lcouto
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SharonCollachi
Guest
The cardiologist can refer to anyone they want to refer to.
Was there a more specific question?
Was there a more specific question?
lcouto
Networker
The cardiologist would refer to the interventionalist within the same group. I just clarified on what they want to know... Would we be able to bill as a new patient for the interventionalist since they are in the same practice with the same tax ID #?
It's not really what you asked, but I think you mean can both the cardiologist and interventional cardiologist in the same group bill for a visit on the same day??
If that is your question, the answer is yes, provided they are credentialed as 2 different specialties. I believe a few years ago Medicare recognized that interventional cardiology is a different specialty. Having a different specialty would allow to bill 2 visits in the same day (and could be considered new patient for the other specialist.)
If that is not what you are asking, please clarify.
If that is your question, the answer is yes, provided they are credentialed as 2 different specialties. I believe a few years ago Medicare recognized that interventional cardiology is a different specialty. Having a different specialty would allow to bill 2 visits in the same day (and could be considered new patient for the other specialist.)
If that is not what you are asking, please clarify.
SharonCollachi
Guest
Okay, that is a different question. Can they be a new patient to another provider within the same group with a different specialty. The answer is Yes.
New patient: An individual who did not receive any professional services from the physician/non-physician practitioner (NPP) or another physician of the same specialty who belongs to the same group practice within the previous 3 years.
New patient: An individual who did not receive any professional services from the physician/non-physician practitioner (NPP) or another physician of the same specialty who belongs to the same group practice within the previous 3 years.
lcouto
Networker
Thank you so much... So sorry to be so confusing
SharonCollachi
Guest
It's not you, it's me, trust me.
When I was pregnant, people would say, "Is it a boy or a girl?" and I would answer "yes", or "I certainly hope it's one of those two".
When I was pregnant, people would say, "Is it a boy or a girl?" and I would answer "yes", or "I certainly hope it's one of those two".
lcouto
Networker
My boss wanted me to ask about referring to an Electrophysiologist... Same scenario as above but instead of the Interventionalist it would be an Electrophysiologist.. I guess we have an Electrophysiologist joining our group...
lcouto
Networker
My boss wanted me to ask about referring to an Electrophysiologist... Same scenario as above but instead of the Interventionalist it would be an Electrophysiologist.. I guess we have an Electrophysiologist joining our group...
It does not matter what type of specialty the referred to physician is, as long as it is different than the referring physician.
From Sharon's earlier answer: " New patient: An individual who did not receive any professional services from the physician/non-physician practitioner (NPP) or another physician of the same specialty who belongs to the same group practice within the previous 3 years. "
From Sharon's earlier answer: " New patient: An individual who did not receive any professional services from the physician/non-physician practitioner (NPP) or another physician of the same specialty who belongs to the same group practice within the previous 3 years. "