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Re: BillingFrom: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)Wed Feb 4 16:19:09 2004
Have her come in Monday for a follow-up. I doubt you'll get paid on the telephone call, and if she fails to follow-up on Monday, this will be the last time you call in meds on the weekend. I have a policy that I don't call in prescriptions after noon, Friday (when my office closes.) Rick -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Garry E. Siegel, M.D. Sent: Sunday, February 01, 2004 2:26 PM To: Multiple recipients of list OB-GYN-L Subject: GEN: Billing I know that there are CPT codes for telephone work, and I also am pretty sure that no carriers will reimburse for them. Here's a scenario that is handled differently on weekdays versus weekends. An existing patient calls with UTI symptoms, gyn, and wants an Rx. Normally, we insist on them coming in for a urinalysis, maybe a culture, and then prescribe. This allows us to make a correct diagnosis, see them if necessary, etc. This is billable as a low level E/M service if the nurse handles it. OK, now on the weekend, same story, but I sometimes send the patient to the hospital lab for the u/a and culture, and have to: 1. Call the patient back. 2. Fax an order to the lab (forget verbals these days). 3. Call in the Rx. 4. Document a note, which I do. I think that I should bill the same entry level office E/M service. What do you guyst think? If there are any coders out there, please weigh in. Private email OK, too. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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