tci Part B Insider - 2004 Issue 5

Part B Coding Coach - Untangle Admissions From Office Visits: 4 Scenarios Show You the Way

Get the pay you deserve for 2-day servicesHow can you earn your fair share of reimbursement for office visits that result in hospital admissions? Separately report CPT 99201 -99215 when your physician waits to see the inpatient the next day.  Physicians in group practices that rotate hospital rounds can further complicate coding for the two E/M services, says Suzanne Rushton, insurance office manager at Piedmont Health Group, a 12-physician practice with four locations in Greenwood, S.C.  For instance, a physician may see a patient in the office and admit the patient to the hospital...

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