See SSC Fee Guide before billing these fees.
This fee is intended to support coordination of care between multidisciplinary providers (specialists, general practitioners and allied care providers) for patients with serious and complex problems under extraordinary circumstances where the patient is too complex for the specialists to deal with on his/her own.
Things to Know
The fee is not intended to be billed for the specialist’s regular duties of care, but rather extraordinary efforts required for complex patients within a specialists practice. You can bill this fee if you conference with at least two other providers about a patient whose care is too complex for you to manage on your own.
In order to bill this fee, the conference must be at least 15 minutes long per patient discussed. If the conference is less than 15 minutes, then the fee criteria have not been met.
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