Keep an eye on "consult and treat" requests.
Question: What's the difference between a consult and a referral? How, for instance, would I report the service if my surgeon received a "consult and treat" request from another physician?
Answer: You may want to clarify with the "consulting" physician what his intent was in sending the patient to your surgeon.
To report a consult code (99241-99255), you must be sure that the medical record reflects all the components that make up a consultation:
1. There must be a request from one physician (or other appropriate source) that your surgeon see...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: