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outpatient consultant ?

  1. Default outpatient consultant ?
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    Can a doctor charge a consutlantion visit on a new patient that is on worker compensation that was referred by the employer?

  2. #2
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    Tacoma, WA
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    Quote Originally Posted by jjohnson78 View Post
    Can a doctor charge a consutlantion visit on a new patient that is on worker compensation that was referred by the employer?
    That does not meet the criteria of a consultation unless the request was made my the employer's insurer. An employer is not an "appropriate source" for making a request for a consultation. This would be coded as a new patient visit.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. Default
    so if the employers insurer requested a consultation of the doctor then you can bill it as a consultantion?

  4. #4
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    Tacoma, WA
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    Quote Originally Posted by jjohnson78 View Post
    so if the employers insurer requested a consultation of the doctor then you can bill it as a consultantion?
    An insurance company is listed in the CPT book as an "appropriate source" for requesting a consultation.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  5. Default
    Thanks for getting back to me, that's what i thought, but i wanted to double check and clarify.

  6. #6
    Location
    Grand Rapids, MI
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    230
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    I would also check if your state's fee schedule for WC. MI does not allow payment for consults.

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