About the ads

Palliative Care consults

Discussion in 'Hospice and Palliative Medicine' started by ForamenMagnumPI, 10.06.09.

  1. SDN is a nonprofit organization. Services are made possible through the generous support of SDN members and sponsors. Thank you.
  1. ForamenMagnumPI

    ForamenMagnumPI Chief Resident

    Attending Physician
    SDN 7+ Year Member

    SDN Members don't see this ad. (About Ads)
    My palliative care program has been billing inpatient consultation codes that are time-based. This has worked well for us. However, our hospital has now decided that consultants can no longer bill inpatient consultation codes if the consulted physician manages any portion of the patient's care (as an example - if we recommend changing morphine to fentanyl, it's a consult, but if we manage the PCA, we have to bill as a routine daily inpatient visit and not a consult). Since we bill based on time spent with the patient, I think our reimbursement will still be good. I suspect that other specialties that do not bill on time spent will face a cut in reimbursement.
    I was wondering, how have other palliative care programs been billing inpatient consults? Has anyone else encountered this change in coding?

Share This Page

About the ads