I was taught that unless the patient has an unrelated problem than it is not a consult, but of course primary care can do a consult on their patient prior to surgery?
They are meeting all the requirements from CMS. They have the hospitalist admit their patient, and request the consult. They are technically following the rules. Their dictation is solid and through. My issue with these consults is I believe they should be charged as transfer of care. They are already are treating the patient for the same diagnosis in the clinic. So for example patient is receiving chemotherapy treatment then two days later the patient is dehydrated. The patient presents to ER and is admitted. The hospitalist requests the patient's oncologist to see the patient. The requirements are met, but it seems wrong. We are looking at the guidelines from CMS and the providers are saying they are doing what is required. I say it is a transfer of care but they are reading you can still do consult and provide treatment if needed. Some doctors are providing several consults a month on the same patient same problem but different requesting. I cannot find anything to support my opinion and they are open to what I am saying if I can prove it.
Thanks for any help.