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Billing and Finance

Next Reply: Re:Billing care plan oversight for a physician.
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Post Billing care plan oversight for a physician.
Author: LizAlp
Date: May 14, 2008 1:03 pm
We are a new hospice and have heard that it may be possible to bill Care Plan Oversight for a physician. Does anyone know if this is true and how it is done?
Replies: order by [Date] [Author] [Subject]
Re:Billing care plan oversight for a physician. (by AmberBJones on 05/22/2008)
Yes, under the categories of both Professional and Administrative Services, Medicare authorizes physician reimbursement for careplan oversight. The relationship of the physician to the hospice program is key to determing the source and rate of reimbursement. The CAPC website includes a good descriptive chart on this topic. Go to: www.CAPC.org and then select Hospice and Palliative Care Across the Continuum. Enter: Physician billing for hospice services in the Search bar and a list of tools will pop up. The very first tool is the Physician Billing Grid. Note: to qualify for professional services reimbursement, the physician service(s) must be designated by the appropriate CPT-4 code and include consultation, intepretation of an x-ray, CT scan, or MRI, or interpretation of a laboratory test.
Re:Billing care plan oversight for a physician. (by micahcsmith on 04/28/2010)
Nurses should be able to bill doctors for medication over-site LOL. What does an M.D. know about a care plan or plan of care? Nothing, they are nursing not medical diagnosis. I'm off my soap box now.



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