I'm with you on this one, Laura.
There are a lot of reasons for needing the know the referring physician. Most of them have to do with managed care and requirements by the insurance companies for that information.
Requesting a consult on a patient for a specific issue is another animal entirely.
If I were running a coding company and I had a note that "might be" a consultation, I would ask the physcian to add the required information IF this was a consult. I would give the physician 3 days to comply, or I would code it as a new/existing/or subsequent hospital visit depending on the circumstances.
Just a shot in the dark here, but I'm wondering if your coding company is being paid a percentage of charges? Consults are higher charges than other visits, hence a big incentive to code them whether appropriate or not.
F Tessa Bartels, CPC, CEMC
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