A consulting physician may, in fact, begin treatment on the date of the consult. Just because the consultant's opinion was sought, doesn't mean s/he can't start treating the condition found.
However, you are right that when Doctor A sends his patient to Doctor Specialist to "take care of this" then THAT is NOT a consult, it's a transfer of care.
Unfortunately, the way the rules are written the intent of the requestor is the important determining factor, and that's sometimes hard to discern.
F Tessa Bartels, CPC, CPC-E/M
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