Sunday 9 November 2014

Patient seen group practice provider on same day?



Physicians in Group Practice

Physicians of the same specialty in the same group practice must bill and be paid as a single physician.

If more than one E/M (face-to-face) service is provided on the same day to the same patient by the same physician or more than one physician in the same specialty in the same group, only one E/M service may be reported unless the E/M services are for unrelated problems. (Refer to instructions for use of the 76 modifier.)

Instead of billing separately, the physicians should select a level of service representative of the combined visits and submit the appropriate code for that level.

Physicians in different specialties in the same group practice may bill and be paid without regard to their membership in the same group.

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