Results 1 to 6 of 6

Hospitalist consult

  1. #1
    Default Hospitalist consult
    Medical Coding Books
    A hospitalist is asked to do a consultation (99254 was billed) for "probable congestive heart failure. In his chart note it clearly states the reason and request for the consult. My issue is that it appears that her report to the requesting physician is her assessment and plan at the bottom of the chart note along with "thank you for the consultation". I know that in an office setting this is pretty starightforward regarding the report back to the requesting provider. My question is in a hospital setting when the requesting physician is the same chart. I was hoping for some backup and guidance before I disucss this the physician regarding their consults.

  2. #2
    Milwaukee WI
    Default Shared medical record
    An inpatient consult does not require a separate report being sent to the requesting physician, as there is a presumtion that the physicians treating the inpatient all have access to the shared inpatient medical record.

    So if the documentation meets the standards for a consultation on an inpatient, no additional separate report needs to be sent to the requesting physician.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Yes, Tessa is correct. As long as the record is shared, no seperate report is required. If audited, you'll need to prove the referring physician has access to the consultant's record.

  4. #4
    I was hoping this would be the consensus as I wasn't quite sure how to break this to the physicians. Thank you

  5. #5
    Just curious, what's their standpoint on it? you say "break this to them.." makes me seem like there's an issue at hand...

  6. #6
    No, there is no issue. I was preparing for my class with them tomorrow and I just had the question as I was touching on consults getting my ducks in a row.

Similar Threads

  1. E/M OBV Consult converted to Inpt Consult
    By AmandaHartman in forum E/M
    Replies: 1
    Last Post: 06-13-2014, 10:36 AM
  2. Hospitalist and Rehab "hospitalist"
    By bertll in forum E/M
    Replies: 0
    Last Post: 04-22-2014, 11:37 AM
  3. Consult in ER by Hospitalist
    By jdibble in forum Emergency Department
    Replies: 5
    Last Post: 05-25-2011, 12:30 AM
  4. Hospitalist consult in the ER
    By Gemini18 in forum Emergency Department
    Replies: 3
    Last Post: 06-03-2009, 01:37 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.