The performing physician (Dr. A) must be clear on who the referring provider is (Dr. B). Ex: I had the pleasure of seeing pt at my office today, at the request of Dr. B for an evaluation of (complaint/diag). That is all that is needed to bill a consult. There also must be documentation that a follow-up letter was sent to Dr. B. That can be done by documenting a cc at the conclusion of the note/letter.
Also, if Dr. A and Dr. B are within the same group, utilizing the same tax id #, then all that is needed is the cc at the conclusion of the note/letter is sufficient for a substantial consult.
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