Offices with multiple providers/specialties

[erica]

I'm working with one of our low vision offices. The doctor and OT see the patient on the same day, which is creating a bit of a hard time for the biller.
I'm curious how other offices handle this as the doctor's Dx/CPT codes go on one CMS form and the OT's codes go on their own.

Right now, after the doctor does the coding, the biller imports the RS to invoice. The OT goes in and codes, which creates a new RS which is then imported to a new invoice.

This requires a lot of coordination so I'm looking for input/processes that your office follows, if anybody has any.

Thanks!
Erica

[friscoeyeassociates]

I'm assuming OT means occupational therapist? I know you can bill optometry and medical services on the same day, however its not usually done because it was my impression that you could only bill for one Office Visit charge on a single day. This is why we bring OCT/VF's back for special testing rather than doing it same day as exam. Essentially if OT is performing all of their services on the same day the optometrist is, the office is missing out on billing and being paid for that additional office visit with the OT. So, my first suggestion would be to not begin therapy on the same day as a visit with the optometrist. It is basically devaluing the OT's "chair time" by only billing for one office visit charge for seeing 2 clinicians. Beyond that I really don't know of a solution here other than them utilizing some kind of secondary Routing Slip option, whether it was via an option through crystal if you guys were willing to create that for them, or by some other means probably the old school paper route but that sounds even more cumbersome than what they do now...

[erica]

Thank you for your input!