Results 1 to 2 of 2

Questions re: documentation of Consult-E/M

  1. #1
    Question Questions re: documentation of Consult-E/M
    Medical Coding Books
    I just started auditing an ARNP, CDE. On every note I've read so far it states CONSULTATION at the top. My question is this; since Medicare doesn't allow consult codes anymore & she is coding them as an E/M visit.. is it allowable or not to have the word CONSULTATION at the beginning of the chart note? Or does it even matter?

    She doesn't document a seperate CC, it is in the HPI.

    Please & Thanks for your help!!

  2. Default
    Quote Originally Posted by CWHCoder View Post
    I just started auditing an ARNP, CDE. On every note I've read so far it states CONSULTATION at the top. My question is this; since Medicare doesn't allow consult codes anymore & she is coding them as an E/M visit.. is it allowable or not to have the word CONSULTATION at the beginning of the chart note? Or does it even matter?

    She doesn't document a seperate CC, it is in the HPI.

    Please & Thanks for your help!!
    You are correct that all Medicare claims cannot be billed as Consultation, even if that was done. The provider must indicate level of visit. You are stating that a CC is not documented separately. As long as it is clearly obvious in the context of the reason patient being seen (you indicate you see in HP), even when not clearly stated as CC, you may audit as cc. However, if it is not clear from the notes what the cc is you cannot bill out a visit.

    You can find this info in the Medicare Billing Manual online

Similar Threads

  1. Documentation questions...HELP
    By songbird4700 in forum Gastroenterology
    Replies: 2
    Last Post: 10-11-2010, 09:33 AM
  2. Documentation questions
    By tfischer in forum E/M
    Replies: 2
    Last Post: 08-19-2010, 12:00 PM
  3. Documentation consult pa and dr.
    By kristenw in forum E/M
    Replies: 0
    Last Post: 09-04-2008, 03:34 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.