I find myself in yet another fun place with consults. I use this term loosely because the documentation does not meet the requirements for a consult. These services should have been billed as they were, which would have been subsequent care codes. The coding company did not do this, instead they hounded the providers until they amended their notes to show who the referring provider was. Referring in my opinion is the key word, as these were transfers of care not true consults. But of course I will get serious pushback for stating this is not a consult now since they feel they have met the requirements.
Here is the question though. Can you add this type of info several weeks, months, nearly a year later in some cases and actually consider this a consult? If it was not documented originally who requested it how in the world could they have gotten a copy of the report? So in my mind we missed the requirement by more than just the name of the requestor.
Thanks for your opinions or sources if there are any on this.
Laura, CPC, CPMA, CEMC
Here is the question though. Can you add this type of info several weeks, months, nearly a year later in some cases and actually consider this a consult? If it was not documented originally who requested it how in the world could they have gotten a copy of the report? So in my mind we missed the requirement by more than just the name of the requestor.
Thanks for your opinions or sources if there are any on this.
Laura, CPC, CPMA, CEMC