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consults - shared?

  1. Default consults - shared?
    Medical Coding Books

    We are having a debate, can consults (rather inpt or outpt) be shared (w/ a PA or CRNP)?

    Does the doctor have to dictate the consult, or can the PA or CRNP do it and put "dictated for Dr. Example"?

    Thank you for any advice
    Codegirl0422, CPC

  2. #2
    Default Shared consults
    Not for Medicare.

    The intent of a consultation service is that a physician or qualified NPP or other appropriate source is asking another physician or qualified NPP for advice, opinion, a recommendation, suggestion, direction, or counsel, etc. in evaluating or treating a patient because that individual has expertise in a specific medical area beyond the requesting professional's knowledge. Consultations may be billed based on time if the counseling/coordination of care constitutes more than 50 percent of the face-to-face encounter between the physician or qualified NPP and the patient. The preceding requirements (request, evaluation (or counseling/coordination) and written report) shall also be met when the consultation is based on time for counseling/coordination.
    A consultation shall not be performed as a split/shared E/M visit.

  3. #3
    North Carolina
    I could not agree with Belinda more...

    The Mid-level would, practically, have to be a "walking dictaphone"...rather pricey.

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