Debra, they'll have "Consult" as the heading but sometimes won't have the consult criteria such as the Request, Render, and Respond. I need to educate them further on "Consults" b/c I don't think they're doing true consults but in the mean time not sure what to do with the current notes.
Their notes often don't really reflect that an "opinion" is being asked.
I think I need to just stop, not bill anything and have them append the note.
But I have guidelines that says "A consult should only be billed if the requirements are met. Remember the "3 Rs" of a consultation."
So, I know if the guidelines aren't met for a 99221-99223, you CAN drop down to a subsequent visit. So, wasn't sure what exactly to do if documentation guidelines were met, but the "3 R's" were not....?