I often code for In-patient services. Recently I came across a situation where a Respiratory Therapist (Hospital employee) performed an Intubation and the physician is trying to bill for that Intubation. When I talked to the MD he argued that he gave the order and was in the room the entire time. I do not feel that the MD should bill since he did not actually perform the service. I would appreciate input from others that may have encountered this situation and if I am correct in my thoughts, what can I use to support them.
Just an additional note: I believe that in a Teaching Facility the MD’s often bill when they are training residents, but we are not a Teaching Facility.