How do I bill a service when the resident sees the patient on a different calendar date from the teaching physician, such as late night admissions?
“Scenario: A physician sees a patient in the Emergency Room shortly before midnight. The patient is evaluated in the emergency room and the emergency room physician bills for an emergency department evaluation and management (E/M) service. The resident is then notified. The resident performs some or all of the required elements of the initial hospital care service in the absence of the teaching physician and documents his/her service and calls the teaching physician. The resident receives admitting orders by phone. The patient is admitted on day one shortly before midnight. The teaching physician does not see the patient until day two. Can the teaching physician use the admission date as the initial hospital care date of service (DOS) even though the teaching physician did not see the patient until day two? Response: No. The teaching physician must bill the service for the date on which he or she performs it. The teaching physician independently performs the critical or key portion(s)
“Scenario: A physician sees a patient in the Emergency Room shortly before midnight. The patient is evaluated in the emergency room and the emergency room physician bills for an emergency department evaluation and management (E/M) service. The resident is then notified. The resident performs some or all of the required elements of the initial hospital care service in the absence of the teaching physician and documents his/her service and calls the teaching physician. The resident receives admitting orders by phone. The patient is admitted on day one shortly before midnight. The teaching physician does not see the patient until day two. Can the teaching physician use the admission date as the initial hospital care date of service (DOS) even though the teaching physician did not see the patient until day two? Response: No. The teaching physician must bill the service for the date on which he or she performs it. The teaching physician independently performs the critical or key portion(s)
Related Questions
- If the patient is subsequently admitted to the same hospital due solely to an SAE, but is seen by a different physician, would the hospital receive payment for this subsequent admission?
- If a PA performs a non-consultation E/M service and the physician reviews and signs the patients chart, can the service claim be submitted with the physicians number?
- How do I bill a service when the resident sees the patient on a different calendar date from the teaching physician, such as late night admissions?
