The following decision tree addresses the mistakes that auditors for Medicare administrative contractors (MAC) and investigators are finding. Share it with providers and billing staff to help them recognize when they can — and cannot — bill a visit incident-to a physician.
PREOPERATIVE DIAGNOSIS: Acute lymphocytic leukemia in remission.
POSTOPERATIVE DIAGNOSIS: Acute lymphocytic leukemia in remission.
OPERATION PERFORMED: Removal of tunneled venous port.
ANESTHESIA: General.
INDICATIONS: This 19-year-old patient presented with ALL and had a tunneled venous access port placed at that time. Patient has subsequently undergone chemotherapy and is now off therapy, and no longer needs a venous port.