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Thread: Consultations and Insurance Carriers

  1. #1

    Default Consultations and Insurance Carriers

    AAPC: Back to School
    I know that the contant consultation discussion is a problem because of Medicare's rigid rules and regulations, but I was wondering if all carriers follow the same rigid criteria. Most doctors seem to be concerned about a Medicare/Medicaid audit, but I was wondering if we should always use the same critieria for all carriers. We always require other offices to give us a request in writing for a consultation if it is a Medicare patient., but I know that some offices are not as insistent to have a written request in file if it is another carriers, such as Blue Cross or Blue Shield, etc. I was wondering if other carriers are getting involved in the audit frenzy regarding consultations.



  2. #2


    If you follow the criteria of Medicare and Medicaid I would say that you will be safe with other carriers, since Medicare and Medicaid are so strict.

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