tci Part B Insider - 2011 Issue 37

Reader Question: Sequence Hospital E/M Services Properly

Question: I have trouble figuring out how to charge for a patient that was in observation, then admitted to the hospital, and then discharged. How would I report: observation on 8/20/11, admitted 8/21/11, and discharged 8/22/11? Also, how do I list place of service -- in-patient or observation? Answer: If an observation patient is admitted to inpatient status by the same practitioner on a subsequent day, you may bill as follows:Day 1 -- Bill the observation using an initial observation care code (99218-99220, Initial observation care, per day, for the evaluation and management of a patient ...). The place...

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