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Billing and Finance

Next Reply: Re:ICU physician as part of consulting team
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Post ICU physician as part of consulting team
Author: Tfried
Date: Mar 7, 2010 10:26 pm
We are putting together a new PC service at an academic medical center where each member of the service would become a contractual employee of our PC organization. One of the physicians who wants to work on the service is the Director of the ICU. If he consults the PC service for an ICU pt, is it billable? I have been advised that since he is part of the group, he cannot consult another PC team physician. We'd really like to have him on the team, but are afraid it would prevent us from consulting in the ICU. Ideas? Thoughts?
Thanks.
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Re:ICU physician as part of consulting team (by TomSmith on 03/08/2010)
I am assuming that you have a large multi-specialty practice and that the university practice does the billing.
That is different if you are part of a small practice and have one billing code for the practice.

In our setting, the ICU director could bill as PC as long as he/she has PC credentials and is not billing on his/her own patients...that he/she saw for PC.

I am an academic oncologist, and none of my PC consults have ever come back denied because my ONC colleagues and I are in the same practice.

I would run this by the billing people at your own institution first before making any assumptions.

Think globally, bill locally.

Tom Smith Massey VCU

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