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3 visits same day

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Lisa@srts-inc.com:
Hello,

I have 3 providers who are just starting out and I am wondering if they can each see the same patient on the same day.

These are for autistic patients and the insurance on most will be Medicare, the patients will be seen by a PhD for therapy-90806, then a psychiatrist(MD) for a 90862 and then an occupational therapist for a 97530 on the same day........will Medicare reimburse all three services?

Any info or anything else you think I may need to know for this billing would be greatly appreciated.
Lisa

Michele:
Are all 3 providers in the same group?

Lisa@srts-inc.com:
Well they haven't decided yet if they will form a group or each bill individually.

PMRNC:
Carriers will generally ONLY allow for ONE visit per day.  I've had groups with therapists and psychiatrists and we just explain that to the patient and schedule their visits on different days. The carriers, in general, will also not authorize for more than one visit per day. Medicare also will not.

Michele:
But if they are all individual, billing separately, and the services are all different, wouldn't that be ok?  I would think a patient could go for psychotherapy, and an OT appt, and even a med check, all in one day, if it were three separate offices, so if they bill separately it might fly.  But if they are in a group, then I don't think it will fly.

Curious to see what others think.

Michele

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