tci Part B Insider - 2009 Issue 8

Part B Coding Coach: Consult or Referral? You Be the Judge

Know the 5 Rs to keep the auditors at bay and collect that extra $50 The feds have consult claims -- which pay about $50 more than an equivalent new patient visit -- under a microscope, so you've got to get your documentation straight.  To report a consultation code (99241-99255), Barbara Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC, has extended the 3 Rs into 5 Rs based on what Medicare has been looking for. They are:  Reason for consultation ; Request for opinion ; Render of opinion ; Report back of findings:   Your physician must provide a written...

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