Oh, this really gets my hackles up. Why isn't the surgeon doing his/her own work? I know, the surgeon'll say s/he's not getting paid for the Admit -- but s/he IS paid for it! The admit is part of the RVU for the surgery ... just like the post-op care.
The admission H&P is the responsibility of the admitting physician - in this case the surgeon who scheduled the patient for surgery.
If the surgeon is requesting a consultation from your physician for a medically necessary reason ... e.g. patient scheduled for knee surgery, but has diabetes ... then the family physician can code for a consultation.
I'd start insisting that the surgeon in question complete a request for consultation form due to medical necessity, and see those patients in the office a few days prior to surgery.
The surgeon should not be able to bill a consult or admit on the day of or day prior to surgery. (Unless, of course, the E/M resulted in the decision for surgery.)
F Tessa Bartels, CPC, CPC-E/M
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