Consultations and Referrals

Anonymous
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Question description

manage the patient. A consultation is billed under one of the consultation codes listed in Physicians' Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP's evaluation and recommendations.

When an NP requests a consultation from another provider, the N P should request "consultation" on the referral form, rather than “referring.”

Referrals:

A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.

When a NP refers a patient, the NP should state on the referral form that the NP is "referring the patient for evaluation and treatment." The referred-to provider will bill an evaluation and management code, rather than a consultation code.

Writing Assignment: Consult: Write up a consult request and include all key elements.

Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN for consultation regarding eczema unresponsive to treatment in the past six months.

Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code.

Writing Assignment: Referral: Write up a referral request and include all key elements.

As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.

1. Document your referral to Dr. Owens

2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.


Minimum 2000 words

Tutor Answer

Jkennish
School: University of Virginia

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Running Head: UNIT 6 ASSIGNMENT: CONSULTATION AND REFERRAL

Unit 6: Assignment: Consultation And Referral
Student’s Name
Institution of Affiliation
Course
Date

1

UNIT 6 ASSIGNMENT: CONSULTATION AND REFERRAL

2

Writing Assignment: Consult: Write up a consult request and include all key elements.
The purpose of the referral of Ms. Perez to Ms. Wilson FNP-C, APRN, and MSN is for
consultation in regards to eczema unresponsive to treatment for the past six months. The
following is a documented evaluation and recommendation on how Mrs. Wilson FNP-C, APRN,
MSN should deal with the consultation request and bill a consultation code.
CONSULTATION FORM
Please Contact me by: ☐ Phone ☐ Mail ☐ E-Mail

Date 13/7/018
PERSONAL INFORMATION
Name: MS. PEREZ

Age: 48 years

Sex: Female

Address:

City

State

DOB: 01/01/1970
Phone:
Zip Code

E-mail address (optional) __________________________
Procedure Code: 99213
An established office patient with Eczema ICD-10: L30.9: Dermatitis, unspecified.
Chief Complaint: “lesions on my neck and forearms.”
Interval History: Patient with a well-known history of eczema lesions on bilateral forearms and
the neck. She reportedly has previously been treated with several medications including;
Burrows solution, Montelukast, Colloidal baths and Benadryl for the past six months without
success. Currently, she states that the lesions are not only very painful but also unresponsive to
treatment. The patient was referred for a consultation visit.
General Examination
The patient is sick-looking, in pain with a steady walking gait. He has no pallor, no jaundice,
mild oedema, severe dehydration and no cyanosis.

UNIT 6 ASSIGNMENT: CONSULTATION AND REFERRAL

3

HEENT
Head is atraumatic and normocephalic with a normal distribution of hair. Pupils are unequal,
round and reactive to accommodation and light. She has sunken orbits with a dry mucous
membrane. No scleral icterus and extraocular muscles are intact. No nystagmus. The neck has
moderate to severe swelling with positive eczema lesions some of which are not only infected
but also draining mild pus. The skin lesions extend to bilateral forearms with severe dehydration
of the surrounding skin. The affected areas have pain rated at 6/10.
Review of Systems (Integumentary)
Inspection
Skin lesions are erythematous, 1 cm in size and rough. The papulovesicular lesions are grouped
and located around the neck regions extending to bilateral forearms anteriorly and posteriorly.
They are accompanied by pigmentary changes and intense pruritus.
Palpation
The papulovesicular lesions ...

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Review

Anonymous
Awesome! Exactly what I wanted.

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