tci Medicare Compliance & Reimbursement - 2011 Issue 21

Reader Question: Uncomplicate Complicated Observation, Admit, Discharge Combo Billing

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, do list place of service as 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, according to Maggie M. Mac, CPC, CEMC, CHC, CMM, ICCE, director, Best Practices-Network Operations at Mount Sinai Hospital in New York City: Day 1 -- Bill the observation using an...

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