Hello to all,
I am going back and forth with some of my doctors (cardiologists). They were given what I consider to be incorrect information. They seem to think that ALL (Consult) calls coming from the hospital can be bill out as a new initial hosp care visits regardless of the pts history with us and why we were called.
Example: Pt known to our practice for a-fib, goes to the ED in renal failure. Pt gets admitted as inpt to hosp. We get called due to the history of the pt having a-fib. Wouldn't this be considered a "transfer of care", and billed as a subsequent visit, not a new initial visit?
Example: Pt with known CAD has CABG done by cardiovascular surgeon, once CABG is performed the surgeon then transfers the pts care to his regular cardiologist to follow during the pts hosp stay. Again, isn't this a "transfer of care", not a new initial visit?
Example: Pt with known CAD comes into ED with rapid heart rate, we get called for a consult due to the rapid heart rate. Pt is admitted by hospitalist as inpt. Pt found to have new onset of A-FIB. This WOULD be considered a new initial hosp visit.
Any input would be greatly appreciated. I'm pretty sure I understand the guidelines, I'm just having trouble getting my docs to believe me.
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