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re: I hate our healthcare system and PAs/NPs

Posted on 8/11/17 at 8:45 am to
Posted by Hopeful Doc
Member since Sep 2010
14990 posts
Posted on 8/11/17 at 8:45 am to
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.
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