AAPC - Back to school
Results 1 to 2 of 2

Thread: Consult vs. New Pt

  1. #1

    Default Consult vs. New Pt

    AAPC: Back to School
    We have an issue that I was hoping to get some clarification on. Our office has an EMR system which has physician progress notes as well as a place in which the physicians can place referral requests. These requests can include testing as well as evaluate and treat. According to our policy, if a physician puts in a referral for 'evaluate and treat', this is considered a consult. If a physician puts in a referral for 'test', this is not considered a consult, of course.
    The question I have is if a physician has documented in his/her progress notes that they are referring for a test but in the referral it's noted 'evaluate and treat' (which, again, is considered a consult in our system) which do I go by; the referral or the physician's notes.
    A physician and fellow coder states it's ok to go by what is in the referral itself. One reason was if we were an outside office who didn't have access to the physician's notes, we wouldn't see what they had in their actual notes - only the referral. This physician also contacted some of the physicians who stated if they put in a referral for 'evaluate and treat' then they are asking for this physicians' opinion not only testing, no matter what is in their progress notes.
    So I'm left with the question of is this a consult or not???

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Duplicate Post

    This is a duplicate post. I answered already in another thread.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. ER Consult vs Inpatient Consult
    By lcouto in forum Emergency Department
    Replies: 1
    Last Post: 10-22-2015, 10:08 AM
  2. E/M OBV Consult converted to Inpt Consult
    By AmandaHartman in forum E/M
    Replies: 1
    Last Post: 06-13-2014, 10:36 AM
  3. Billing OV Consult vs Hospital Consult
    By crowemd in forum Auditing General Discussion
    Replies: 1
    Last Post: 02-20-2012, 02:02 PM
  4. IP consult
    By cchilva in forum E/M
    Replies: 3
    Last Post: 06-16-2009, 06:32 AM
  5. Replies: 1
    Last Post: 01-24-2008, 01:16 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?


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.