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      • To clarify, a 03333 submited only to the MSP system is never seen by the Consulting Practitioner (CP). The CP must first receive a preceding explicit referral to then subsequently invoke an IRR.
      www.doctorsofbc.ca/sites/default/files/irr_sc_preliminary_faqs_for_website.pdf
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  2. The consultant is not expected to know whether or not the referring practitioner has submitted a referral to MSP. However, the consultant will perform any consultation based on having received a referral themself, and that referral proves they are correctly billing a consultation.

  3. The referring practitioner’s original referral letter specifically disallows an implicit re-referral (IRR) by stating: “This referral is for one consultation only and does not include a re-referral” or similar language, OR.

  4. Nov 3, 2021 · Does every consultation require a referral be submitted to MSP? How often does a referral need to be submitted? How do you know if a no-charge referral is reasonable? What happens if a consultant sees a patient who has not been referred? How long does a patient remain a referred case?

  5. The consultant cannot demand a referral. The decision to require a referral or re-referral is that of the consultant. Once the consultant has discharged the patient upon completion of consultation, the referring practitioner cannot insist the consultant resume or continue care without another referral.

  6. referring physicians and consulting physicians engage in the referral-consultation process, including how a referral is first initiated and how information is subsequently transferred between registrants.

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  7. Jun 26, 2023 · Significant changes have been made to the MSC Payment Schedule to improve the re-referral process, effective July 1, 2023. These changes are a result of the work done by the Consultation and Referral Working Group, set up via the 2022 Physician Master Agreement (PMA).

  8. • the referring regulated member has a well-identified reason for requesting the consultation and has completed a workup within their scope and expertise; • the consulting practitioner has all the information necessary to make a timely determination to accept or not accept the referral: