tci General Surgery Coding Alert - 2006 Issue 4

New Consult Rules Mean You'll Be Beefing Up Documentation

Requesting physician must note consult in plan of careThe -Three R-s- aren't enough anymore for reporting a consult. CMS weighs in with new rules that will change document requirements for consultations.Cautious coding experts have long recommended that both the requesting and consulting physician note the request and reason for a consultation in the patient's medical record. A recent -Medlearns Matters- article, however, now stipulates that such documentation is not merely -best practice- but absolutely required in all instances. Docs Must Cooperate on Documentation Starting Jan. 17, to report a consult (99241-99255), the consulting physician must receive and document...

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