“Thank you for your consult…”

Until recently, there was a financial difference between performing a “Consultation” and a “New Patient Visit” for office visits (Medicare stopped paying for Consultations at a higher rate than New Patient Visits in 2010).  I won’t get into the ins-and-outs of what the criteria for a consultation were, why payment for the codes were eliminated for Medicare patients, etc… (If you want to read more about the difference, click here). The long and short is: in specialists’ offices, patients often get/got billed for the more expensive “consults” when in fact the visit was not a consultation at all.  Let’s just use this understanding as the brief background for what I’m about to say…

I work at an academic medical center.  My patient base is quite different from that of a typical gastroenterologist in that I often get asked to consult on (i.e. render an opinion about treatment for) patients by other gastroenterologists.  Because I see patients from all over the state, patients often come from several hours away and do not expect to get their routine GI care where I work.  Patients frequently return to their referring gastroenterologist for their care after I have rendered my opinion or helped them through their situations.  This is the way tertiary care medicine is supposed to be.  When a patient returns to their gastroenterologist, they are closing the circle of the consultation.

How then should I feel when a referring physician sends me a note on a patient, originally sent to me by him, that says something to the effect of:

“John Doe is being seen in consultation at the request of Dr. Ryan Madanick for a history of colon polyps.” ?

Here are my issues with this:

  1. I didn’t send the patient to him in consultation. I know how to take care of patients with a history of colon polyps. As a matter of fact, I DO perform colonoscopy. The patient returned to his care because he was the patient’s referring doctor in the first place, not because I wasn’t certain about the best option for this patient’s care.
  2. The patient is returning to the original referring physician.  The visit shouldn’t even be billed as a New Patient Visit.  It is an Established Patient Visit (which pays a lot less).
  3. If the patient’s insurance covers Consultation codes at a higher billing level, we are all losing (well, except for the payee). The patient probably wouldn’t see any difference. However, if this happens time and time again, the payment system would break down (or wait, maybe it already did…)

Let’s get this straight.  I know the referring doctor well, and I think he practices good medicine.  Still, we know why the note was documented this way.  And this is exactly the type of fraudulent billing practice that got the Consultation codes removed by Medicare.

I’ll end by making a plea:  Please don’t bill a patient and their insurance for a consultation when it is just a visit.


About Ryan Madanick, MD

I am a gastroenterologist who specializes in diseases of the esophagus, with a strong interest in the diagnosis and treatment of patients who have difficult-to-manage esophageal problems such as refractory GERD. I can be followed on Twitter: @RyanMadanickMD (he/him)
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