In Billing
Dec 28th, 2017
In August 2017, UnitedHealthcare (UHC) indicated they would no longer reimburse inpatient and outpatient consultation codes, as of Oct. 1, 2017. When the implementation date came, UHC indicated they would delay the consultation services revision until 2018: We previously announced that certain revisions to the Consultation Services Reimbursement Policy would become effective for UnitedHealthcare Co...
Aug 1st, 2013
By G.J. Verhovshek, MA, CPC “Remember the ‘Three Rs’ for Payers Accepting Consults” (June 2013, pages 26-29) generated more than the usual number of reader responses, and a few readers took issue with my insistence that what matters most when coding for consultations are a documented request, reason, and report. Specifically, they suggested what mattered ...
May 10th, 2011
What is a consultation? AAPC member Sandra Kunze discusses the consultation coding issues in the most recent issue of CMA Today. “Current Procedural Terminology (CPT) wants to make sure the rules for consultation coding are well understood, because even though the CPT consultation codes for Office or Other Outpatient Consultations and and Inpatient Consultations are ...
Nicole Benjamin, CPC, CPC-I, CEDC, coding education specialist for the AAPC, shares key strategies for understanding the recent changes to consultation codes and how to effectively use them based on recent code revisions. Full Article Ohio Medicine: “Strategies for Success with the New Consultation Rules” was last modified: July 5th, 2011 by admin aapc...
In Coding
Dec 31st, 2009
Jan. 1 has come and gone and so, too, have CPT® consultation codes (99241-99255). As predicted, Medicare Administrative Contractors (MACs) and other payers have implemented this policy change brought forth by the Centers for Medicare & Medicaid Services (CMS). It’s important to note, however, that this change in coverage applies to public health plan options ...