tci Medicare Compliance & Reimbursement - 2005 Issue 17

Compliance: Prove Consults With A Written Request

Safety first: Get some kind of documentation on consult request for patient record.Last September's transmittal on incident-to billing wasn't the only thing that the Centers for Medicare and Medicaid Services withdrew without any explanation.CMS had issued a new Medlearn Matters article about consults in which the agency said definitively that a doctor doesn't need a letter from the requesting physician to prove a visit was a consult. Instead, CMS said, the doctor just needed a note in the patient's medical record.But now CMS has removed Medlearn Matters article SE-0515 from its Web site and told the...

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