Medicare Compliance & Reimbursement - 2015 Issue 1
Reader Question: Add Online Consults in Claim
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Article Overview
This reader Q&A discusses how an electronically transmitted clinical question from one physician to another may be billed using CPT interprofessional consultation services. It is intended for coders and billing staff who need a high-level understanding of the relevant CPT code range, the type of service involved, and general coverage considerations without replacing the full premium guidance.
Why This Topic Matters
Interprofessional consultations delivered by phone or internet are increasingly common, and correct identification of the CPT code range and related documentation expectations can affect claim acceptance and reimbursement. The article helps readers determine whether the topic is relevant to their workflow when physicians seek input from another practitioner without a face-to-face patient encounter.
What You Will Learn
- How the article frames interprofessional telephone and internet consultation services
- What general billing and coverage issues are raised for these services
- Why payer policy and documentation considerations matter for this type of consultation
- How the article distinguishes non-face-to-face consultative services from face-to-face consultation scenarios
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle staff
- Physician practices
- Compliance staff
Codes Discussed
Code Ranges Discussed
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