Test your knowledge about...

Continuing Care from Previous Patient
Fee Items 01205, 01206 and 01207

This short self-quiz will test your understanding of MSP billing policies and procedures for continuing care from previous patient.

Question 1

A physician is called from home in the night on an urgent basis to attend a patient (age 30) at the hospital. The physician arrives at the hospital at 0200 hours. During the time spent with that patient, the physician is asked to see another patient (age 17) who also requires emergency care. Total time spent with the first patient is 17 minutes, and total time spent with the second patient is 22 minutes. The physician bills fee item 13200 (out-of-office visit fee) for each patient. Which out-of-office hours premiums apply, if any?

  (a) Bill fee item 01201 for each patient.
  (b) Bill fee item 01201 for the first patient, and fee item 01206 for the second patient.
  (c) Bill fee item 01201 for the first patient only. No additional out-of-office hours premiums apply to the second patient.

Question 2

A physician is called from home on an urgent basis on a weekday evening at 1900 hours to attend a patient (age 27) at the hospital. After assessment and treatment of that patient, the physician decides to assess three other patients who are already hospital inpatients. The physician spends 32 minutes with the first patient and 10 minutes with each of the other three patients (ages 2-49). The physician bills fee items 13200 and 01200 for the first patient. How should s/he bill for the other three patients seen?

  (a) Bill fee item 13008 plus fee item 01200 for each patient.
  (b) Bill fee item 13200 plus fee item 01200 for each patient.
  (c) Bill fee item 13008 for each patient, plus fee item 01205 for the last patient seen.
  (d) Bill fee item 13200 for each patient, plus fee item 01205 for the last patient seen.
  (e) Bill fee item 13008 only for each patient.
  (f) Bill fee item 13008 for each patient, plus fee item 01205 for each patient.

Question 3

A physician is called from home on a weekend evening on an urgent basis to attend a patient (age 19) at the hospital. The physician arrives at the hospital at 1900 hours. During the time spent with that patient, the physician is asked to see another patient (age 45) who also requires emergency care. Total time spent with the first patient is 15 minutes, and total time spent with the second patient is 35 minutes. The physician bills fee item 13200 (out-of-office visit fee) for each patient. Which out-of-office hours premiums apply, if any?

  (a) Bill fee item 01202 for each patient.
  (b) Bill fee item 01202 for the first patient, and fee item 01207 for the second patient.
  (c) Bill fee item 01202 for the first patient only. No additional out-of-office hours premiums apply for the second patient.

Disclaimer: MSP Tutor is intended to provide a guide for physicians and medical office assistants in billing claims to MSP. For definitive information on fee-for-service fee item codes and amounts, consult the current MSC Payment Schedule. If a discrepancy exists between the information contained in MSP Tutor and the MSC Payment Schedule, the information in the Payment Schedule will prevail.