Medicare Medical Coding Question: What is CCA?

Q #8: Know that Medicare doesn’t recognize consultation codes, the AI modifier is used. My questions is, is it wrong for 2 physicians (one PCP, the other a specialist) to use the same code on the first day (initial visit)? I was told that it is right for learning in school, but in the real world, it’s wrong (one claim would be denied)?

A: OK. We had this question come up here recently and we did a slide on it, and I went ahead and asked my experts that I told you about. Off the top of my head, I can’t remember what they told us, but it is in the Replay Club, so you can go back there and look at it.
No, I think they do not pay. They don’t pay twice, Medicare; however, you would have to have exemplarily documentation and you would have to… I just don’t think they do it.

If I remember it right, I was thinking that she told us that they wouldn’t; but if you wanted to try and see, then you would definitely have to have good documentation as to why and separate documentation for each, is what I would do. But it is on the Replay Club and I think it’s like two months back. I don’t think it was last month, I think it was the month before that we talked about that, and so maybe on YouTube because Boyd chops those up and puts little clips like that on YouTube.

[tmac]

The CCA stands for certified coding associate offered by ahima.org