tci Part B Insider - 2004 Issue 10

Part B Coading Coach: Consult Vs. Transfer Of Care - Distinguish The Differences

6 steps to increase your referral reimbursementWith physicians using the word "referral" so freely, billers can have a hard time telling whether they're requesting a consultation or a transfer of care. Use the Three R's -- Request, Render and Report -- to sort out this classic conundrum.  To ensure that you're complying with the consultation rules, watch out for these common consult "myths" among providers, says Cindy Parman, CPC, CPC-H, RCC, principal of Coding Strategies Inc. in Powder Springs, Ga.:  Myth 1: I'm a specialist, so every new visit is a consultation.  Myth 2: I...

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