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Consult or Referral

  1. #11
    North Carolina
    Medical Coding Books

  2. Default
    I am new to coding and unfamiliar w/the 3R' it reason for

  3. #13
    North Carolina
    What are the specific requirements for reporting consultations? (The "Three R's")

    The Request for consultation, whether verbal or written, must be documented in the medical record. The documentation must include thename of the requesting physician or appropriate sourceas well as the reason or need for the request.

    The consultant must Render an opinion/recommendation and any services performed must be documented.

    A written Report back to the requesting physician or other appropriate source must be included in the medical record. This can be in the form of a letter, completed hospital pre-operative form, or a copy of the progress note.

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