Governing Rule: 4.10

TRANSFER OF CARE

All of the following criteria must be met:
- Used when the care of a patient has been transferred to another physician who will continue to provide care for the patient.
- The physician receiving the care claims the transfer of care.
- Each physician may claim for services on the date of transfer if they have seen the patient.
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4.10.1
If the care of a patient is transferred, each physician may claim for services provided on the day of transfer.
4.10.2
If a physician transfers the care of a hospitalized patient to a second physician, the second physician may claim daily care. The applicable benefit rate will be determined by the number of days of the patient's hospitalization except as provided in GR 4.10.3.
4.10.3
When the care of a patient is transferred to a second physician, the second physician may charge daily hospital care, starting at the rate allowed for the first to seventh day, only if the transfer was due to the onset of a significant new illness.
4.10.4
If a patient is transferred to another hospital under the care of another physician, hospital visit services shall be claimed as though this were a first admission.
4.10.5
A physician who admits a patient to hospital and provides pre-operative care but does not perform the surgery, may claim benefits for the services up to and including the day of surgery.