Billing Case Management
If three providers within the same practice have a conference to discuss a patient and can qualify for a case management charge, who gets to charge - the provider who instigated the conference or all three providers involved in the discussion?
Question: If three providers within the same practice have a conference to discuss a patient and can qualify for a case management charge, who gets to charge - the provider who instigated the conference or all three providers involved in the discussion?
Answer: The physician whose patient is being discussed usually bills the charge and keeps the revenue. You certainly can’t bill it three times.
If all your physicians do case management on a roughly equal basis, there is no problem. They all get some.
Ep. 52: Private equity and hospital consolidation with Yashaswini Singh, PhD, MPH
February 17th 2025Yashaswini Singh, PhD, MPH, a health care economist and assistant professor at Brown University's School of Public Health, discusses her recent research article on private equity and hospital consolidation in primary care.
