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Thread: 2 consult billed within 30days to Medicaid

  1. #1

    Default 2 consult billed within 30days to Medicaid

    AAPC: Back to School
    can someone give me insight on how to bill my 2nd consult ....
    what happen is my doc did a consult on 12/1/11 pt d/c on 12/5/11 but return back to the hosp with a new admit on 12/10/11 and he did another consult on 12/10/11 ...but Medicaid is denying the 2nd one because they said they do not pay for 2 consult within a 30day period. How would I code the 12/10/11 consult?

  2. #2
    Join Date
    Apr 2007
    Tyler, Texas


    If your Medicaid carrier does not allow a second consult in this time frame and this is a new admission, I would rebill it as initial hospital care, provided your doc is rendering services that the admitting physician is not.

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