Part B Insider (Multispecialty) Coding Alert

Don't Miss Out On Your ED Physician's Consults Income

Think emergency department (ED) physicians don't do consultations? Think again! ED doctors do consults more often than you-d expect, Caral Edelberg, president of medical management resources for TeamHealth in Jacksonville, FL revealed in her talk, -Advanced ED Compliance Coding Essentials-Physician,- at the 2007 AAPC conference in Seattle.

Warning: Some ED physicians incorrectly think that if the patient's regular physician sends the patient to the ED, it's automatically a consult. This would make almost every ED visit a consult, but it's not correct, Edelberg warned.

Opportunity: However, sometimes other physicians will call ED physicians up to the inpatient department to render an opinion about the status of a patient, and then perform intubation or another procedure. In this case, the ED physician should bill a consult, she maintained.

Note: Because the service described above isn't happening in the ED, you wouldn't use the ED as the place of service (POS), Edelberg said.

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