Hello All, 

 

I am working in an OPD setting and I have been facing few issues with my boss regarding the treatment of the medicare patients. I have heard that medicare is one to one treatment, which means if I am treating a medicare patient, I am not allowed to treat any other patient during that time slot. But my manager keeps on sending 2 to 3 medicare patients at the same time. Is it unethical on my part to treat them all at the same time? Is it available anywhere on the website that medicare treatment is one to one, so that I can show it to them and can get this issue resolved. 

 

Please help

Thank you 

If you see more than one then you need to do group billing. Which means if one 15 min unit was being reimbursed at lets say 23 dollars it drops down to like 7 bucks, per pt. in the group i.e. still your boss not going to like it but its your license right. Wait till the contracted CMS audit guy pays a visit and makes you write your declaration down under penalty of purjury (did i spell that right?)...lets save that for another topic. There are also limits on how many you can see in which situations depending on severity of impairments. Its all on the medicare bible website: the glorious cms.gov... one of the most difficult websites to get any decent info from...long story short... CMS will flag your license in a few months and then they come after YOU...not the boss...YOU...trust me...its not worth it. Tell the boss you are group billing if you see more than one at any given time.