I just had a very animated meeting (translation: surgeon yelling at me) about consultation codes.
Per him, I do not know anything about them and until I have been on the floor with him I am to keep my mouth shut. According to him the only way care can be transferred to him is by another surgeon in his field. Every other patient that is sent to him is a consult, period, end of discussion.
I am not questioning my understanding of consults, this provider is under scrutiny and has a 97% error rate on E/M coding, obviously I am not the one that doesn't know anything about E/M since I differ in "opinion" with him and he has such a wonderful track record.
What I am questioning is has anyone else dealt with this mentality before? How do you deal with this? How can I make him see the light? Of course, if consults go away this will be a non-issue, but for now he is trashing my credibility and basically is after my job. I am not the only one he acts like this towards so I'm not taking it personally, but this is truly a first for me. I have never had a surgeon, or any provider for that matter, act like this and I have dealt with some really nasty ones before, no doubt about that. I am hoping someone else out there has "been there, done that" and can help me out.
Oh, on a side note, I just found out today that he directed the physician assistants to NOT sign their documentation because I told them they had to.
Thanks
Laura, CPC, CEMC
Per him, I do not know anything about them and until I have been on the floor with him I am to keep my mouth shut. According to him the only way care can be transferred to him is by another surgeon in his field. Every other patient that is sent to him is a consult, period, end of discussion.
I am not questioning my understanding of consults, this provider is under scrutiny and has a 97% error rate on E/M coding, obviously I am not the one that doesn't know anything about E/M since I differ in "opinion" with him and he has such a wonderful track record.
What I am questioning is has anyone else dealt with this mentality before? How do you deal with this? How can I make him see the light? Of course, if consults go away this will be a non-issue, but for now he is trashing my credibility and basically is after my job. I am not the only one he acts like this towards so I'm not taking it personally, but this is truly a first for me. I have never had a surgeon, or any provider for that matter, act like this and I have dealt with some really nasty ones before, no doubt about that. I am hoping someone else out there has "been there, done that" and can help me out.
Oh, on a side note, I just found out today that he directed the physician assistants to NOT sign their documentation because I told them they had to.
Thanks
Laura, CPC, CEMC