Billing Consultations, Avoiding OIG Audit

Why This Topic Matters

Consultation claims can be higher-valued than comparable office visits, but they also attract scrutiny and require clear supporting documentation. Understanding the article’s scope can help readers assess whether they need guidance on consult documentation, referral wording, and reimbursement context.

Article Sections

1. Consultations: Make sure you have the R’s or it’s an office visit

   Introduces the article’s main focus on consultation billing and the documentation themes associated with it. The section frames why consult services receive attention from compliance reviewers and payers.

2. Consultations vs. office visits: Fees tell all

   Provides a reimbursement-oriented comparison between consultation and office-visit service categories. This section places the discussion in the context of relative payment levels and a fee schedule reference.