tci Medicare Compliance & Reimbursement - 2007 Issue 16

CONSULTS: Agonizing Audits May Settle Consult Issue

But consult confusion will continue into next year.What's the difference between a consult and a transfer of care? The experts still aren't sure.The CPT Editorial Panel failed to reach a consensus on how to clarify the definition of consult at its February meeting, according to the Physician Regulatory Issues Team (PRIT) at the Centers for Medicare & Medicaid Services (CMS). That means there won't be any clarification in the CPT 2008 update.CMS was hoping the CPT update would settle some of the confusion that the agency created with Transmittal 788, according to William Rogers, the PRIT's...

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