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Explanations for duplication of services in health care.

A. More than one member of the same medical practice treat the same hospitalized patient on the same day for different reasons resulting in different code modifiers.

B. Members of the same practice treat the same patient on consecutive days.

C Two emergency room physicians treat the same patient who had to be readmitted after being treated and released earlier in the day.

D. Two members of the same medical practice bill for the same patient/ inpatient services on the same day without explanatory justification.

Solution Summary

This solution gives a detailed explanation of duplication in billing of services in the health care field. The solution answers three different scenario's in a hospital setting, includes a 500 hundred word explanation. The content is original with a reference to the Centers for Medicare and Medicaid website.