Medical Staff

Ask the Expert

Hospitalist Leadership Connection, July 25, 2007

Q: If a nurse practitioner performed a history and physical (H&P) or completed the discharge summary for the H&P, and the hospitalist has signed, should we bill for the service under the hospitalist's name and number?

A: To maximize billing (e.g., Medicare), the services should be billed under the physician as long as the physician saw the patient at discharge (which he or she must do in the scenario described above). It must be clear in the chart that the physician examined the patient on the day of discharge.

This reader question was fielded by Kenneth G. Simone, DO, founder and president of Hospitalist and Practice Solutions, which specializes in hospitalist program development. He can be reached at

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