tci General Surgery Coding Alert - 2003 Issue 1

Reader Question: Always Demonstrate Three Rsfor Consults

Question: Can we report a consult if an emergency department (ED) physician refers a patient to our office for follow-up? If so, do we have to send a report to the ED physician? Usually that physician doesnt keep the records and will never see the patient again. Delaware SubscriberAnswer: You must always meet three requirements (the "three Rs") to report an outpatient consultation: 1. A written request must appear in the medical record. 2. The requesting physician must state the reason (i.e., medical necessity) for the consult. According to the Medicare Carriers Manual (section 15506), "In an emergency...

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