DecisionHealth, DecisionHealth - 2010 Issue 9 (September)

CMS targets observation billing for review after utilization surges

Immediately review your observation billing policies. The rapid growth of observation codes by you and your peers is being scrutinized by CMS officials. A Part B News analysis of CMS billing data confirms the surge in observation billing. Example: Usage of 99234-99236 (observation/same hospital date) doubled to 378,954 in 2008 from 181,705 in 2000.

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