Physician Specialists Who Perform Consultation Services Can Expect Administrative Hassles Under the 2010 Physician Fee Schedule Final Rule


Physicians who treat Medicare Secondary Payer (MSP) patients should be

mindful of new changes to billing practices required by the 2010 Physician

Fee Schedule [PDF]. The final rule's elimination of consultation codes, and

the resulting conflict between coding rules for Medicare and other payers,

means that physicians will have to bill using two different billing codes for

Medicare and non-Medicare payers. Physicians who treat MSP patients in a

hospital setting will be especially impacted by the change, as a single episode

of treatment for an MSP patient now requires the physician to bill multiple

payers using two different billing codes. Mark A. Stanley of Ober|Kaler discusses the issue.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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