All New for 2009!

How and When to Bill for Consultations

• Can a Mohs surgeon bill a consultation when a member of his own practice refers a patient?

• Can one dermatologist request a consultation from another dermatologist for the same problem?

• Can a Nurse Practitioner or Physician Assistant request a consult from a member of his/her own group?

• Can a Nurse Practitioner or Physician Assistant bill a consultation?  If so,  what modifier is required?

• Can you bill a consultation without a written request from the referring provider?

• If you assume the continued care of a patient after you have established the diagnosis, does this automatically constitute a transfer of care?

• How many consultations can you bill in one year?

Many dermatologists are still missing legitimate opportunities to bill for consultation due to lack of information and detailed guidelines.  This newly revised manual walks you through the specifics of how and when you can bill consultations and the documentation requirements needed to support these E/M services.  This comprehensive manual includes:

• The consultation codes and guidelines

• Guidance regarding Initiation of Care and Transfer of Care (making the requests and arranging the transfer)

• Documenting you Report of Findings

• When to use Counseling and Coordination of Care in determining your level of care

• Tips on Completion of the CMS 1500 Claim Form  

• The comprehensive tips for billing consultation for PAs and NPs

• Tips on billing consultations in group practices

• Differentiating between Inpatient vs. Outpatient Consultations

• Complete instruction on modifiers used with Consultations

• Documentation tips

Includes a CD-ROM with the forms and letters in .pdf and Microsoft Word.

 82 pages, spiral bound.

Includes a CD-ROM with the forms and letters in .pdf and Microsoft Word.

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