tci General Surgery Coding Alert - 2004 Issue 10

OIG Alert: Make Sure That Consult Isn't a Transfer of Care (or Vice Versa)

To avoid being caught up in an OIG investigation, be sure that a visit meets all the consult requirements before billing it as such, and be careful of the language you use to describe the patient visit.  Medicare paid $2 billion in 2000 for consultations (99241-99263), and in 2004 the Office of Inspector General (OIG), as outlined in its annual Work Plan, wants to determine if practices are reporting these codes correctly. Don't Be Fooled by Imprecise Terms Just because another physician "refers" a patient to your surgeon doesn't mean you should assume the visit is a...

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