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appropriate documentation for a verbal consultation request

Rhonda Posted Thu 30th of January, 2014 13:06:56 PM

If we receive a verbal request for a consultation from a PCP's office what would serve as appropriate documentation of the request?

SuperCoder Answered Fri 31st of January, 2014 08:42:59 AM

A consultation request may be verbal; however, the verbal interaction identifying the request and reason for a consult must be documented in the patient’s medical record by the requesting physician or qualified NPP and also by the consultant physician or qualified NPP in the patient’s medical record;

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