decisionhealth Newsletters, Part B News - 2009 Issue 12 (December)
AMA creates new definitions for 'transfer of care' in 2010
Subscribe or sign in to view the full article.
Article Overview
This article discusses updated AMA guidance that clarifies the concept of transfer of care in the context of professional service billing. It also reviews the impact of CMS changes to consultation reimbursement and notes why the new guidance is relevant to coders, billers, and physician practices navigating E/M reporting and payer differences.
Why This Topic Matters
The piece matters because it addresses a common source of confusion in professional billing: when an encounter is treated as a transfer of care versus a consultation. It also highlights the practical mismatch between AMA guidance, CMS policy, and private payer handling of consult services.
What You Will Learn
- How the AMA framed transfer of care in relation to consultation services
- How CMS changes affected consultation billing
- Why payer differences can create confusion for reporting professional E/M services
- Why updated guidance may affect physician practice workflows and communication
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Compliance staff
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com