In order to bill for a consultation, the rendering provider needs to receive a request from another qualified health care provider to see a patient for a specific problem. The request doesn't necessarily need to be a written request. It does, however need to be documented in the rendering provider's notes and it really should be documented in the requesting provider's notes (although we can only assume responsibility for our own provider). The consultation can be on a new or established patient. Your provider can only bill for one consultation per hospital stay. If your provider sees the patient today and performs a consultation and sees the patient again tomorrow, he/she can bill a subsequent hospital level based upon the documentation. The only time your provider should bill for another consultation is if he/she receives another request for consultation. If there isn't another request, there shouldn't be another consultation. We no longer have procedure codes for f/u consultations. Your provider should be following up with the requesting provider. If the record is shared, such as in a hospital setting, the note will suffice.
I hope this clarifies your situation. Does anyone else have anything to add?
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