WE have a patient that was seen at our Rural Health Clinic by a nurse practitioner who sent the pt to the ER. This was not technically a direct admit. Nurse practitioner is supervised by Dr. M. at rural health clinic. Later that day, ER doc calls Dr. M to admit the pt to the hospital. Naturally Dr. M’s charge for the admit is being denied. My question is … since Dr. M bills with a different tax id for hospital charges and technically he wasn’t the treating doc for the OV, do we have a reason to appeal the admit code? We started to just write it off, but feel this really should be considered.
Thanks for any input on this.