tci Medicare Compliance & Reimbursement - 2022 Issue Q2

Toolkit: Master Hospital Claims With This Handy Acronym

Utilize this mnemonic device to boost claims success. Coding inpatient care claims can be confusing, and missing even one element could kibosh your efforts. Fortunately, there’s a simple trick you may find helpful. Mary I. Falbo, MBA, CPC, CEO of Millennium Healthcare Consulting Inc. in Lansdale, Pennsylvania, has shared an acronym that can help you navigate claims for 99221 (Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low...

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