katynulph
Networker
Some providers in the institution I work for have been told they can not request consults when it is in a specialty they possess. Here are some of the situations:
Situation 1: A provider with two specialties, pulm and infectious disease, is caring for an patient in the critical care unit. The patient requires management of an infectious disease that the provider is unfamiliar with. Can he request another infectious disease provider with more experience/expertise to also see the patient? Can that provider then bill for the consultation (dependant on insurance carrier and documentation)?
Situation 2: A pulmonary specialist is treating an patient in the hospital. This patient develops an infectious disease. Can the provider with dual specialties (pulm and infectious disease) be consulted to give management advise when the patient is already enlisted in one of the specialties he holds? Can that provider then bill for the consultation (depending on insurance carrier and documentation of course)?
Any reference material would be highly appreciated as I try to educate the providers on the correct way to handle these type situations.
Thank you.
Katy
Situation 1: A provider with two specialties, pulm and infectious disease, is caring for an patient in the critical care unit. The patient requires management of an infectious disease that the provider is unfamiliar with. Can he request another infectious disease provider with more experience/expertise to also see the patient? Can that provider then bill for the consultation (dependant on insurance carrier and documentation)?
Situation 2: A pulmonary specialist is treating an patient in the hospital. This patient develops an infectious disease. Can the provider with dual specialties (pulm and infectious disease) be consulted to give management advise when the patient is already enlisted in one of the specialties he holds? Can that provider then bill for the consultation (depending on insurance carrier and documentation of course)?
Any reference material would be highly appreciated as I try to educate the providers on the correct way to handle these type situations.
Thank you.
Katy