paulavanderpool
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There is a physician who doesn't want to charge a consultation if he has been requested to consult on an established patient of his that is in the hospital. He wants to charge a subsequent visit instead. He feels that since he has seen patient for the same problem/ similar problem in the last two weeks, month, etc, than he doesn't feel right charging a consult/ intial visit( based on insurance carrier and the ruling for medicare and consultation). I understand his point of view. However, the intent of the requesting physician was for him to do a consultation. Setting aside the new rule from Medicare regarding consultation and that there is no distinction between new patient and established for inpatient, wouldn't this still have to be coded as above and not subsequent hospital visit. Just wanted to get some feedback on this. Thanks in advance!
Paula
Paula