When two or more physicians provide similar services to the same patient on the same day this is defined as?
When two or more physicians provide similar services to the same patient on the same day this is defined as?
Concurrent Care. Provision of similar services, such as hospital inpatient visits, to the same patient by more than one provider on the same day.
Which refers to the kind of healthcare services provided to patients?
Type of service – the kind of health care services provided to patients.
Which type of procedure or service code is assigned when the provider performs a procedure or service for which there is no CPT code?
exam ch 7
Question | Answer |
---|---|
define terms and explain the assignment of codes for procedures and services located in a particular section | guidelines |
is a code assigned when the provider performs a procedure or service for which there is no CPT code. | unlisted procedure or unlisted service |
When a physician provides more than one evaluation and management e/m service for the same patient on the same day and the patient’s problem is the same for each encounter report an E M service code for each encounter?
When a physician provides two E/M office or other outpatient services to the same patient on the same day and the patient’s problems are different for each E/M service, report multiple E/M codes and attach modifier -51 to the second code.
What does Xs modifier mean?
separate structure
Modifier Code XS This modifier is used to identify “separate structure, a service that is distinct because it was performed on a separate organ/structure”.
What is the new prolonged service code for 2021?
99417
New for 2021 is prolonged service code 99417, specifically for office or other outpatient E/M services. Code 99417 takes into account both direct and non-direct time (hybrid code) as long as the time occurs on the same date as reporting code 99205 or 99215.
Can a health care provider communicate with a patient’s family?
Even though HIPAA requires health care providers to protect patient privacy, providers are permitted, in most circumstances, to communicate with the patient’s family, friends, or others involved in their care or payment for care.
What does it mean to refer a patient to another doctor?
It involves one physician recognizing that a patient under his care needs some expertise or skills that can be found in another physician. This other physician maybe working in the same institution with the referring physician or in a different institution entirely.
What are the responsibilities of a health care provider?
You are responsible for ensuring that you do not employ or contract with excluded individuals or entities, whether in a physician practice, a clinic, or in any capacity or setting in which Federal health care programs may reimburse for the items or services furnished by those employees or contractors.
Can a health care provider share information with a patient?
Yes. Where a health care provider is allowed to share a patient’s health information with a person, information may be shared face-to-face, over the phone, or in writing. COMMUNICATING WITH A PATIENT’S FAMILY, FRIENDS,OR OTHERS INVOLVED IN THE PATIENT’S CARE
What does a coordination of care physician do?
Examination of a patient by a healthcare provider, usually a specialist, for the purpose of advising the referring or attending physician in the evaluation and/or management of a specific problem with known diagnosis. Coordination of Care Physician makes arrangements with other providers or agencies for services to be provided to a patient.
Which is concurrent care provision of the same patient?
Concurrent Care Provision of similar services, such as hospital inpatient visits, to the same patient by more than one provider on the same day. Consultation
What does group practice mean for a physician?
A physician group practice (Group Practice 1) has a written contractual agreement with another physician group practice (Group Practice 2) for the services of a physician in Group Practice 2. Group Practice 1 would bill Medicare. for the services of the physician (Physician A) as Group Practice 1 services.
When does a hospice have to contract with a physician?
The hospice must make bereavement services available to the family and other individuals identified in the bereavement plan of care up to 1 year following the death of the patient. The hospice may contract for physician services as specified in Section418.64(a).