tci ED Coding & Reimbursement Alert - 2006 Issue 9

READER QUESTIONS: Dated Entries Key Successful Multiple-Day Observation Claims

Question: I am having trouble with a claim for multiple-day observation care. The ED physician admitted the patient at 8 a.m. Monday and performed a level-two observation. The patient stayed in observation all of Tuesday morning, and the physician released her at noon on Tuesday. How many observation codes should I report for this encounter?Michigan Subscriber Answer: You should report observation services for each day the ED physician treated the patient. If that time spans two days, you are correct to report two codes.Caveat: EDs have to back up these claims with notes proving the days...

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