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CAPC Palliative Care Discussion Forum
Billing and Finance

Next Reply: Re:NP billing for both inpatient and outpatient pc
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Post NP billing for both inpatient and outpatient pc
Author: MaryJane
Date: Apr 11, 2012 2:07 pm
If our NP is consulted to see a patient in the inpatient setting and bills an initial consult, and then sees this same patient after discharge in the setting of a physician practice here at the hospital for palliative care....would the 3-yr rule for new patient be applied or would the bill for the office visit be an initial also. We would be billing under the same tax id in both settings. Is the 3 yr rule for new or established patient strictly within the outpatient setting even though it's the same palliative care practitioner seeing the same patients in the hospital and after in an office?
Thank you.
Replies: order by [Date] [Author] [Subject]
Re:NP billing for both inpatient and outpatient pc (by JulieP on 04/12/2012)
The rule for new patients visits is intended to cover all areas of service inpatient/outpatient/hospice/nursing home/etc. Any face to face service provided in the last 3 years by providers of the sasme group specialty mean that the patient is established when they come to the clinic.
Julie Pipke, CPC
CAPC Consultant

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