Emergency Department Referrals
The transfer of care or portion of care is a referral.
• The Emergency Department provider requests that the specialist take over care or a portion of care. The Emergency Department does not intend for the patient to receive follow-up care in the Emergency Department.
• To code Emergency Department services with separate specialist services, there will be two ADM records created.
• An appointment will be generated in the Emergency Department. The Emergency Department provider will document services he provided. In the documented plan of care, the Emergency Department provider will indicate a portion or all of the care will be transferred to the specialist. The Emergency Department provider will generally use a code in the 99281-99285 series and collect the care in the BIAA MEPRS.
• The specialist will document his services in a separate document. The specialist will have an appointment generated in his clinic, usually a “walk-in.” The appointment will be marked as “kept” which will generate a report to be completed in the ADM. This will be a separate ADM report than the report generated in the Emergency Department. The specialist will usually code an office visit range of 99201-99215 in the specialist’s outpatient clinic MEPRS.
• If the specialist admits the patient, there would not be a clinic appointment generated, but the documentation would become part of the inpatient record and collected in the IBWA rounds appointment.
