Which of following questions should be asked and answered yes before coding as a consultation?
A) Does the documentation of the service clearly demonstrate who made the request and the nature of the opinion requested?
B) Has the provider provided a written report of his or her opinion/advice to the referring physician?
C) Although the referring physician may have asked for a "consultation," should the E/M service truly be reported as a consultation?
D) all of the above.

Question

Quizplus · Accepted Answer

All of the questions above should be considered before coding as a consultation. The documentation should clearly demonstrate the nature of the opinion requested and who made the request. The provider should have provided a written report of their opinion to the referring physician. Additionally, it is important to determine if the E/M service truly meets the requirements for a consultation as defined by CMS guidelines.

Which of Following Questions Should Be Asked and Answered Yes