tci Part B Insider - 2014 Issue 18

Part B Mythbuster: Don't Avoid 99221 Series Just Because You Didn't Perform Admission

The admit rules changed with the introduction of modifier AI. If your coding education took place prior to 2010, you might still be under the impression that only one physician can charge Medicare for initial hospital care—but if you fall under the spell of this common myth, you could be losing money. Myth: Your physician admits a patient to the hospital and another specialist performs initial hospital care later that day. The other specialist submits his claim first, which means that only he will get paid for the admission—and your doctor won’t, right? Not so fast...

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