DecisionHealth, DecisionHealth - 2006 Issue 5 (May)
Push on to have CMS change consult double documentation
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Article Overview
This article discusses how physicians, practice leaders, and MGMA are responding to Medicare consultation documentation requirements that affect how consult requests are recorded. It focuses on the compliance concerns raised by duplicated documentation, the administrative burden on consultants, and CMS’s effort to clarify expectations without increasing risk for specialists who perform consults.
Why This Topic Matters
The topic matters to physicians, consultants, compliance staff, and practice administrators who need to understand Medicare documentation expectations for consultations and the administrative implications of the policy. It also highlights how professional advocacy can influence CMS guidance and operational workflow.
What You Will Learn
- The nature of the Medicare consultation documentation concern
- Why physicians and practice administrators view the rule as burdensome
- How MGMA is raising the issue with CMS
- How CMS is describing its goal of clarifying consultation request documentation
Who Should Read This
- Physicians
- Specialists performing consultations
- Practice administrators
- Compliance and reimbursement staff
- Medical group management professionals
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