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CAPC Palliative Care Discussion Forum
Billing and Finance

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Post Palliative Care Specialty
Author: Khedger
Date: Aug 3, 2011 9:58 am
What is the best way to bill hospital inpt charges when, two physicians sharing the same speciality and TIN see a patient on the same day? One M.D. see's the pt in house in AM and has requested that a partner who is a Palliative Care specialist evaluate the patient and and enroll the patient into care. The Palliative Care MD is crendentialed with Medicare as Internal Medicine. Our claims are being denied as either duplicates or 1 visit per physician per day. Can we credential as Palliatve Care and could that be our problem?
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+ Re:Palliative Care Specialty (by JulieP on 08/03/2011)
If your partner functions as both PC and IM, it would be a good idea for your partner to change specialty to 17 with Medicare. CAUTION it would only be appopriate to both bill on the same day only when your partner is wearing his/her PC hat. If you are both functioning as IM providers and see the patient same day, you shouldn't bill Medicare for both services.
Julie Pipke-CPC, CAPC Consultant

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