DecisionHealth, DecisionHealth - 2023 Issue 3 (March)

New math for prolonged hospital visits could equal revenue surge for practices

Check your practice’s highest-level inpatient and observation E/M visit claims (99223, 99233 and 99236). Medicare’s revised threshold times for add-on code G0316 (Prolonged inpatient or observation services by physician or other QHP) may have opened the door to more revenue for hospital visits that are coded based on time.

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