Medical Billing Forum

Coding => Coding => Topic started by: Punkie53 on September 05, 2008, 08:33:10 AM

Title: Billing Second Opinion by Partner
Post by: Punkie53 on September 05, 2008, 08:33:10 AM
Do I bill as consult or established patient for a request for second opinion by patient to a partner in the same practice?  Patient is currently receiving chemo therapy but has requested a second opinion now.  I believe it should be billed as an established patient but I'm not sure.
Title: Re: Billing Second Opinion by Partner
Post by: Michele on September 05, 2008, 09:51:36 AM
That's a tough one.  Many insurances only allow 1 consult in a certain time frame for the same condition so if you bill it as a consult it may get denied.  Also, since the patient is already with your group, it probably won't be quite as involved for the Dr.  I think I would go with billing it as an established patient as well.

Michele