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re: I hate our healthcare system and PAs/NPs
Posted on 8/11/17 at 8:37 am to LSUAfro
Posted on 8/11/17 at 8:37 am to LSUAfro
quote:
I could be wrong. That was just not my experience auditing health care groups
Depending on the type of visit, your provider can bill for counseling, or coordination of care, which can be billed based upon time.
2
Posted on 8/11/17 at 8:45 am to Epic Cajun
quote:
Depending on the type of visit, your provider can bill for counseling, or coordination of care, which can be billed based upon time.
The visit can be billed by one set of standards (amount of description documented, number of problems) OR time, and then in addition to the 992(0/1)(1-5), there are an additional set of codes that can be billed for extra time spent with the above for things that take unusual amount of time.
It includes some very specific language, but if someone spends an hour on the phone with family, another physician or two, and decide to put a patient in a nursing home and move that along, they can bill for that.
That said, I do not think that anyone bills the "extra" time to their patients- heck, most physicians don't even know the codes exist. But it is kind of nice to be able to get a little bit of reimbursement from the insurance company for all the time spent doing something after hours for the patient.
Posted on 8/11/17 at 8:45 am to Epic Cajun
quote:
Depending on the type of visit, your provider can bill for counseling, or coordination of care, which can be billed based upon time.
This. Can bill for complexity and decision making or time. If I'm smart and efficient, I may be able to justify a high level visit in just a few minutes. Other times, I'm stuck in their sorting through shite and listening to someone run on and on about trivial shite, but not able to justify more than a low level code. Blame insurers, they set the rules and the prices. They make the rules, we play the game and the pt's are the unfortunate pawns. There's not doubt the system is fricked. But I don't think pt's realize how expensive it is to run a practice and have all the services and staffing they expect available when they want it and need it. You're not just paying for the time you are there. You're paying for the time you're not there. I'm not defending all doctors and their billing practices, but it's not nearly as clear cut as it seems.
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