tci ED Coding & Reimbursement Alert - 2017 Issue 10

Reader Question: Observation Codes Are on RACs' Radar Screens

Question: Our physician was one of the doctors who saw a patient in observation care in the hospital, and then he saw her on the day she was discharged. We reported 99217 for our doctor's work providing the observation discharge and Medicare denied it. How can we appeal? Supercoder.com Subscriber Answer: Before you appeal, first ensure that you meet the requirements to report 99217 (Observation care discharge day management...). This code is so mired in confusion that it was approved earlier this year as an open audit issue by the Recovery Audit Contractor for Region A, which...

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