Pulmonology Coding Alert

Readers Question:

Prepare Foolproof Documentation for Getting Paid for Referrals

Question: A patient was visiting a primary care physician (PCP) for a persistent cough. The physician referred him to our office after failure of treatment options. Is this a new patient visit or a consultation? Nevada Subscriber Answer: It is not a straightforward decision. If the case passes the following criteria then you can safely code it as a consultation:  1. The [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.