tci ED Coding & Reimbursement Alert - 2004 Issue 10

Fight Observation Denials With Well-Aimed Documentation

Answer 'where, when, why and who' to nail down payment The rules for reporting observation by ED physicians are full of complicated do's and dont's, but you can cut down the confusion by knowing four key pieces of information - the time of discharge, the patient's physical whereabouts, the reason for observation, and the doctor in charge. Time Is of the Essence  The first thing you'll need to know to choose the right observation code is when the patient was discharged, because that's primarily how these codes are distinguished, says James Blakeman, vice president of Emergency Groups' Office...

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