tci Part B Insider - 2007 Issue 36

CONSULT MYTHBUSTER: 4 Myths That Could Turn Your Consults Into Lower-Paying E/Ms

Look to CPT guidelines to avoid misconceptions Are you missing out on billing some consults because of misconceptions about what qualifies? Here are some consult myths which Stacie Buck, vice president of Southeast Radiology Management and president of the Florida HIM Association, exposed in The Coding Institute-s recent audioconference, -Surefire Strategies for E/M Reimbursement in Your Radiology Practice-:Myth 1: A consult request must come from a physician.Reality: Medicare will accept consult requests from a doctor or non-physician practitioner (NPP). And CPT rules allow a consult request from other sources, including attorneys, physical therapists, chiropractors, social workers or insurance...

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