tci Part B Insider - 2003 Issue 18

If It's a Procedure, It's Not A Consult

 If someone sends a patient to your surgeon, who schedules a procedure right away, then it's not going to look like a consult to auditors.   "Consults are always evaluation and management services," says Marcella Bucknam. "They're never procedures." So if the referring physician writes something like "Please perform a biopsy on this patient," it's automatically not a consult. The patient record for a consult should show that Dr. A sent the patient to Dr. B to see what Dr. B thinks of the patient's breast lump.     Likewise, Dr. B's documentation...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.