Inpatient consultations do not require that a report be sent to the requesting physician, as there is an assumption of a shared medical record for the inpatient.
So, not sending a report is not an issue in your scenario.
However, I think you may be correct that this is not a consultation at all. If I am interpreting you post correctly, the Neurologist (presumably the admitting physician) is not asking for advice on how to treat, but is asking that the hospitalist manage the issue. This is not a request for consultation but a trasnfer of care. The hospitalist would code the appropriate level Subsequent Hospital Visit. It would not be an Initial Hospital visit as the Neurologist who admitted the patient would have used that code.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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