I just know this will draw fire but I'm responding anyway...
In a nutshell...the way I see it is this:
The doc that saw the patient in the office, I am assuming will NOT be caring for this patient in the hospital. If this indeed is the case, yes, he/she can bill for the office visit. IF this doc were to be having this patient admitted to his/her service, then the office visit becomes the H&P - does not sound like the case from your scenario.
The E.R. doc who evaluated this patient and made the determination that the patient needs to be admitted, has appropriately requested the services of the an internal medicine doc to perform the H&P. Actually, this internal medicine doc is not really a consultant because he/she is asked to admit the patient and assume care as their coordinating physician. So, yes, the E.R. doc has done his/her job and has transferred care to the internist and may then bill for services rendered.
The internist has now assumed care of the patient - so, no consultation. If the internist calls in another specialist for a consultation, that specialist can capture a consult - provided it is not Medicare (kill us now)...
Hope this is at least a little clearer than mud...
Have a good evening
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join