decisionhealth Newsletters, Answer Books - 2009 Issue 11 (November)
Consults, Visits, Referrals / How to Bill for Consultations to Labs
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Article Overview
This short article covers Medicare guidance for billing physician consultations related to laboratory findings. It focuses on the documentation and professional judgment expected in a consultative report, the circumstances under which the service is initiated, and the need for a written narrative record. The piece is intended for physicians, coders, and billing staff who work with consultation and lab-related service documentation.
Why This Topic Matters
It helps readers understand the general Medicare requirements for supporting payment of lab-related consultation services and the type of report documentation that must be retained.
What You Will Learn
- The general Medicare documentation expectations for lab-related consultations
- What type of report is needed to support a consultation claim
- Why professional judgment and written narrative documentation matter in this setting
- How the article frames the circumstances that lead to the consultation request
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice administrators
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