DecisionHealth, DecisionHealth - 2010 Issue 1 (January)

Some private payers are beginning to ban consult billing

Identify your patient's insurance plan and determine whether the payer still accepts consultation codes (see related story). The consult change does not apply to Medicare Advantage (MA) plans. However, some MA plans are following Medicare's lead to eliminate consult codes (99241-99245, 99251-99255). Others are signaling they will continue to bill consults.

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