tci Medicare Compliance & Reimbursement - 2014 Issue 20

Part B Revenue Booster: Check the Chart to Avoid this $35 Discharge Mistake

Tip: The time spent needn’t be continuous. Hospital discharge coding hinges on how much time your physician spent performing discharge services. Unless the doctor’s documentation specifically indicates the number of minutes she spent, you might be compelled to downcode every claim. Time is of the Essence When your physician performs hospital discharge services, you have two codes in the range: 99238 — Hospital discharge day management; 30 minutes or less; 99239 — ... more than 30 minutes. As the code descriptors indicate, the choice between the two codes depends on the time your provider spends on the...

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