tci Part B Insider - 2006 Issue 9

Part B Coding Coach: Nail the New Consultation Rules With These Real-World Examples

Warning: Don't let your newfound in-group consult option get out of hand You’ve heard the buzz about the new consultation requirements, but it’s a lot to stomach all at once. If you’re grimacing each time you code a consultation claim, we’ll put you at ease by breaking down the major rule changes into simple scenarios. 1. Make your 3 R’s into 4 R’s. For years you’ve known that in order to report a consultation code, your physician’s documentation must satisfy the 3 R’s: request, render, and report. Now you’ll...

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