tci Medicare Compliance & Reimbursement - 2004 Issue 42

Physicians: Don't Wait 'til The Midnight Hour To Bill For Admission

3 simple rules for getting inpatient visits right.Even the carriers are confused about the rules for inpatient hospital visits. So what chance do you have of handling them correctly?Not to worry, say experts. Simply remember these simple ground rules:1) When two physicians are co-managing a patient, they should both bill subsequent visits unless one of them meets all the consult requirements. Keep in mind that the rules for a consult are quite stringent, notes Karen Jeghers, manager of Compliant Billing Services in Carver, MA. The admitting physician must ask for the consulting physician's opinion, the consulting physician...

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