Kevin,
Hope you can help me with this question. We are having a discussion at work several of us agree, others are confused. We code the physician side for the emergency room. Many patients are seen by physician assistants, nurse practioners (extenders). Several coders are saying if the "extenders" discusses the case with their supervising physician on duty they should get the 2 points for discussing the case with another health care provider. My understanding is another health care provider should be a "consult" calling or discussing the case with the ortho doctor ,cardiologist etc. This is making the difference between a level 3 versus a level 4. We do have an outside auditing group, but i would like to have information before i discuss with the other coders (usually a heated discussion). Any advice would be helpful. You can email me at cmzstover@yahoo.com. Thanks you all your hard work!!!
Hope you can help me with this question. We are having a discussion at work several of us agree, others are confused. We code the physician side for the emergency room. Many patients are seen by physician assistants, nurse practioners (extenders). Several coders are saying if the "extenders" discusses the case with their supervising physician on duty they should get the 2 points for discussing the case with another health care provider. My understanding is another health care provider should be a "consult" calling or discussing the case with the ortho doctor ,cardiologist etc. This is making the difference between a level 3 versus a level 4. We do have an outside auditing group, but i would like to have information before i discuss with the other coders (usually a heated discussion). Any advice would be helpful. You can email me at cmzstover@yahoo.com. Thanks you all your hard work!!!