tci E/M Coding Alert - 2021 Issue Q3

Guidelines: 5 Tips to Capture the Maximum Ethical Reimbursement for Inpatient Consults

Don’t rely on hospital E/M codes until you confirm inpatient status. Picture this: Another physician needs your ob-gyn’s opinion on a hospital patient’s condition. Your physician examines the patient and shares their opinion with the treatment team, then creates thorough documentation regarding the encounter. Although the scenario doesn’t sound particularly complicated, it can lead to myriad coding questions and pitfalls if you don’t apply the right coding guidelines. Follow these five steps to avoid common inpatient consultation coding pitfalls and set your practice on the right path toward compliance and reimbursement success. 1. Determine...

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