tci General Surgery Coding Alert - 2007 Issue 8

READER QUESTIONS: Consult Report Can Be Part of Shared Record

Question: Consult rules state that the consulting physician must send a written report of his findings and recommendations to the requesting physician. I-ve recently heard that in the inpatient setting, the report can be a part of the shared medical record rather than a separate document. Is this true?Washington Subscriber Answer: Yes, in the inpatient setting the consulting physician may be able to include his report as a part of the shared medical record, rather than sending it to the requesting physician as a separate document. The Medicare Internet Only Manual (IOM) states explicitly in Chapter 12, section...

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