tci Medicare Compliance & Reimbursement - 2006 Issue 19

PHYSICIANS: Consult Confusion Just Got More Tangled

You don't have to verify documentation, but it should be there.You've been tearing out your hair over the confusing consult documentation rules--and they just got even more complicated.The Centers for Medicare & Medicaid Services tried to let providers off the hook for the consult catch-22, but CMS's latest clarification just raises more questions, say providers.New rule: A statement by the Physician Regulatory Issues Team at CMS says that the consulting physician doesn't have to verify that the requesting physician documented the request for a consult. In other words, when Doctor A requests a consult from Doctor...

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