Tonyj
True Blue
Can we bill an inpatient consult (MCR 9922X) of an established pt if we are not the admitting physicians?
Assuming this is a commercial payer that accepts consults and not Medicare, you can bill an established patient for a consultation for a new issue if all consult requirements have been met. You can not bill a consult on an established patient for a diagnosis you were already treating/following.
No this is not a consult. The endo provider knows that your provider treats the patient for the hem/onc condition and has requested that your provider continue to follow this condition while inpatient, therefore you use subsequent inpatient codes.The pt was admitted by his endocrinologist for diabetic services. We were asked to consult for his Hem/Onc condition. The pt is an established pt of ours (Hem/Onc) with Medicare (9922x).
I feel I should know this answer as a yes but I'm second guessing myself.
No this is not a consult. The endo provider knows that your provider treats the patient for the hem/onc condition and has requested that your provider continue to follow this condition while inpatient, therefore you use subsequent inpatient codes.
ChristieH - this is the same answer for your question. The hospitalist admits your patient and requests your provider to continue to follow the same condition you were treating prior to the admit; this is not a consult and must be billed with subsequent encounter codes