DecisionHealth, DecisionHealth - 2011 Issue 10 (October)

3 ways to avoid denials for observation services

You and your peers have steadily billed more observation services to Medicare and fewer inpatient care codes as requirements for inpatient status have tightened – but denial rates remain stubbornly high. With the creation of new subsequent observation codes in 2011 and CMS publishing different rules for their use than CPT, providers have more reasons than ever to be confused, experts say.

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