tci Part B Insider - 2005 Issue 26

Part B Coding Coach: Determine Reason And Place To Help You Classify Consults

Key: Document request and rendering of opinionProblems differentiating office consultations and confirmatory consultations, or second opinions, can cost your practice up to $12 per patient. In general, a consultation occurs when a physician, other healthcare practitioner, patient or other third-party requests that your physician render advice on a specific problem a patient is experiencing. Use this strategy to differentiate between some common types of consultations to ensure accurate reimbursement. Identify These Office Consultation Components Office consultations occur when a physician requests the opinion of another physician.You should report office and other outpatient consultation codes (99241-99245) when a physician...

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