pamfran, sounds like this consult stuff is getting more confusing. In the office I work in, the doctors are saying anytime a patient is referred to them it is a consult. They will not accept transfer of care until they do an initial evaulation themselves with the patient eventhough the referring physician gives a diagnosis and attaches his notes. Also I am looking for some clarification about consultations. I think Medicare created a big mess when they decided to do away with consultations. I wish all consults went away. I look at consults like this, 1 a referring physician sents a request specifically for a consult not just a note saying he is referring a patient to a specific clinic 2 the consulting doctor does his hpi, exam and mdm. Now here is the part where some of my coworkers and I disagree... I say that if our doctor treats the injury, illness and notes the patient is to follow up with him regarding this injury or illness, I believe this is a transfer of care and it is a new patient visit. On the other hand if our doctor only sends the patient for mri, xray, pt and sys patient to return to evaulate this particular treatment I would count this first visit as a consult. I could go on but everything sometimes start to run together. If you care to discuss this sometime let me know.
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