tci Part B Insider - 2004 Issue 41

Consult Or Subsequent Visit? 3 Scenarios For Concurrent Care

Suppose a patient who has diabetes is admitted to the hospital for an infection. An endocrinologist follows the patient's diabetes while an infectious disease specialist follows the patient's infection, says Barbara Cobuzzi, president of Cash Flow Solutions in Lakewood, NJ. Should the endocrinologist bill for a consult? She offers three scenarios: 1) The infectious disease doctor calls in the endocrinologist for a consult on the patient's diabetes. The endocrinologist sets up a plan of care including a sliding scale of insulin. The patient is fine for the next few days and the endocrinologist doesn't see him, but on the...

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