tci ED Coding & Reimbursement Alert - 2012 Issue 3

Reader Question: Watch The Rules Rather Than The Clock In Applying Observation Time Standards

Question: Think I'm having a mental block...if time is going to be a factor, and Medicare requires a minimum of 8 hours, doesn't that mean you can't use the "typical times" for a Medicare patient? Does anyone know how the times not listed with Observation codes will impact the Medicare 8 hour rule?? North Carolina SubscriberAnswer: You are mixing two different time standards together. The new observation code language regarding the typical time "the physician spends at the bedside and on the patient's hospital floor or unit." is a measurement of how much time the physician spends...

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