RE: Is ortho surgery medical clearance for established patient a consultation or not?

[Guest guest]

It’s a consultation unless it’s Medicare which doesn’t acknowledge consults anymore. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of Helen YangSent: Wednesday, January 18, 2012 1:59 PMTo: IMP GroupSubject: Is ortho surgery medical clearance for established patient a consultation or not? Is ortho surgery medical clearance for established patient a consultation or not? Many thanks.Helen

[Guest guest]

because medicare does not pay consult codes anymore neither do any of my major insurers.just a 99214 visitTo: From: qualityfp@...Date: Wed, 18 Jan 2012 14:02:42 -0500Subject: RE: Is ortho surgery medical clearance for established patient a consultation or not?

It’s a consultation unless it’s Medicare which doesn’t acknowledge consults anymore. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of Helen YangSent: Wednesday, January 18, 2012 1:59 PMTo: IMP GroupSubject: Is ortho surgery medical clearance for established patient a consultation or not? Is ortho surgery medical clearance for established patient a consultation or not? Many thanks.Helen

[Guest guest]

Depends on the insurance.  Our IPA and Medicare will not pay a PCP for a consult (actually, I don't think MDC pays for any consults any more).

 

Submit as a consult to commercial insurance companies with the surgeon as the referring provider.  Otherwise, we bill a 9921X.

 

 

Is ortho surgery medical clearance for established patient a consultation or not? Many thanks.Helen

-- Pratt