1st - never have the provider use language like "thank you for referring" this consistues that he/she is taking over care of the patient and you cannnot bill for the consult codes. use something like "thank you for allowing me to consult on your patient." instead.
2- The provider who sent you the patient needs to have requested a consult, you need to have documentation of a request in your records and you MUST report back to the primary provider who requested the exam with any findings. This can be in any form. Most practices (specailists) make up a form for other provider office to use and either fax or send back through the EMR. But at is basic all is needed is a note stating the patient to be sent to a provider or office and the reason or diagnosis to be treated. Your return letter could be a coer letter attached to the days office notes/labs/additional studies or a detailed letter.
hope this helps.
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