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Consultation Clarifications?

  1. Default Consultation Clarifications?
    Medical Coding Books
    I have read on some other sites that some offices fax a request to the office that is sending the patient to their office to clarify if it is a consult or transfer of care. I was wondering if any other offices do this. We rarely get written confirmation of a consult request in our area, even if the other office is not sure of a DX. They often just fax over tests with no cover letter as to their intent. I think that it would be worth the time to do this to have some form of written confirmation in our chart, and do you think that this would
    justify billing a consult if Medicare did an audit.



  2. #2
    Milwaukee WI
    Default Intent of the requesting physician
    It is the intent of the requesting physician that determines whether you have a consult or a transfer of care. So, yes, it is definitely a good idea to fax a form to the PCP asking them specifically what it is they want. Is this a consultation regarding a problem? Or do they know what needs to be done but they don't "do that" so they're sending the patient to you for that treatment/procedure?

    The "request for consultation" should be documented in both the requesting physician's patient chart and the consulting physician's patient chart. Having the PCP complete a form is one way to ensure this.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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