tci Part B Insider - 2009 Issue 30

PART B CODING COACH: 5 Steps Break You of Bad Subsequent Care Coding Habits

Virtually everything your physician does can contribute to the documentation. If you report 99231 for all your subsequent hospital care services, you may be costing your practice more than money -- you could be raising a red flag to payers. Analysts say that many specialists report 99231 more often than any other subsequent hospital care code. What that means: This indicates that either most subsequent hospital visits are low-level services or physicians routinely undercode for inpatient care. Since not all hospital visits are low-level, you should be reporting higher-level subsequent hospital care too -- provided your documentation warrants it...

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