Wiki outpatient consultant ?

[jjohnson78]

Can a doctor charge a consutlantion visit on a new patient that is on worker compensation that was referred by the employer?

 

[ajs]

Can a doctor charge a consutlantion visit on a new patient that is on worker compensation that was referred by the employer?

That does not meet the criteria of a consultation unless the request was made my the employer's insurer. An employer is not an "appropriate source" for making a request for a consultation. This would be coded as a new patient visit.

 

[jjohnson78]

so if the employers insurer requested a consultation of the doctor then you can bill it as a consultantion?

 

[ajs]

so if the employers insurer requested a consultation of the doctor then you can bill it as a consultantion?

An insurance company is listed in the CPT book as an "appropriate source" for requesting a consultation.

 

[jjohnson78]

Thanks for getting back to me, that's what i thought, but i wanted to double check and clarify.

 

[kvangoor]

I would also check if your state's fee schedule for WC. MI does not allow payment for consults.