coachlang3
True Blue
OK, I know we have this discussion every week (sometimes everyday) but I need a clarification on something.
Pt is referred/sent to a GI doc for a CCS. Doc magically transforms it to a consult with symptoms (this is due to the pt actually filling out a screening form and it has constipation, diarrhea and other GI syptoms on it). And then schedules the pt for a future date for a CCS (not on same day as "consult").
I know it is not a good thing to do the whole consult thing but the patient did put down symptoms, and it's also not a good thing really to have a consult with symptoms and then try to do a screening at a later date.
However, can the doctor d/c the patient from care for the symptoms presented and then at the later date do the CCS?
Thanks for all hep and opinions (and if you can have some documentation, I need as much as possible to show my Board of Directors since I have to present to them my findings and opinions.
And my opinions are as follows:
I find it disturbing that doctors charge a consult when the patient was referred for a CCS, I find it horrible that the doctor then goes and does a CCS and charges it as such when we all know if the pt was just seen for the consult w/symptoms and we have to code it as such and then the pt turns around and screams because they had a diagnostic exam instead of a screening and now their deductibles and co-ins are being hit when they were told they were having a screening and as such when they called their ins' that is the benefit they asked about (as did our pre-cert dept).
Pt is referred/sent to a GI doc for a CCS. Doc magically transforms it to a consult with symptoms (this is due to the pt actually filling out a screening form and it has constipation, diarrhea and other GI syptoms on it). And then schedules the pt for a future date for a CCS (not on same day as "consult").
I know it is not a good thing to do the whole consult thing but the patient did put down symptoms, and it's also not a good thing really to have a consult with symptoms and then try to do a screening at a later date.
However, can the doctor d/c the patient from care for the symptoms presented and then at the later date do the CCS?
Thanks for all hep and opinions (and if you can have some documentation, I need as much as possible to show my Board of Directors since I have to present to them my findings and opinions.
And my opinions are as follows:
I find it disturbing that doctors charge a consult when the patient was referred for a CCS, I find it horrible that the doctor then goes and does a CCS and charges it as such when we all know if the pt was just seen for the consult w/symptoms and we have to code it as such and then the pt turns around and screams because they had a diagnostic exam instead of a screening and now their deductibles and co-ins are being hit when they were told they were having a screening and as such when they called their ins' that is the benefit they asked about (as did our pre-cert dept).