tci Medicare Compliance & Reimbursement - 2007 Issue 12

COMPLIANCE: Beware--An Office Visit Can't Count As A Hospital Admission

'Bounty hunters' may be scrutinizing your inpatient E/M visits.Myth: A physician can bill for a hospital "admission" even if she didn't see the patient in the hospital. Truth: In fact, there's no code for hospital admission. To bill for an initial inpatient visit (99221-99223), the doctor must visit the patient in the hospital and perform a history and physical exam there.Oftentimes, the physician will see the patient in the office and then admit him to the hospital. The doctor may not see the patient in the hospital on the same day, but will still want to bill...

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