tci Medicare Compliance & Reimbursement - 2008 Issue 22

Coding Coach: Don't Let Time-Limit Myth Restrict Your Consultation Options

Know when you can report a repeat consultation -- and when you can't If you're a specialist and you use the three-year rule across the board for outpatient services, you're sacrificing consultation pay. After you send a patient back to the primary-care physician (PCP) for a completed episode of care, you can perform another consultation. "The three-year rule applies to office visits, not consultations," said Barbara J. Cobuzzi, MBA, CPC-OTO, CPC-H, CPC-P, CPC-I, CHCC, in The Coding Institute's Otolaryngology Coding and Reimbursement Conference in San Antonio.Know Status With 99201-99215 You should use the same code for office...

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