WPS asks practices to self audit their consult claims

Why This Topic Matters

It helps practices recognize why consultation claims may be reviewed and why contractor documentation requests matter for Medicare billing compliance.

Article Sections

1. Consult claim audits and contractor review

   Overview of the audit activity described by the Medicare contractor and the broader review of consultation claims.

2. Documentation expectations for consultation requests

   Discussion of the type of physician documentation contractors look for when reviewing whether a consultation request is supported.

3. Consultation policy changes and CMS clarification

   Background on Medicare policy updates and the clarification of how transfer of care is described in federal guidance.

4. Related contractor practices and resources

   Mention of other Medicare contractors and a reference link for additional policy information.