decisionhealth Newsletters, Part B News - 2011 Issue 1 (January)
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Article Overview
This short expert-answer article discusses evaluation and management billing for a situation in which a physician reviewed records, communicated with nursing staff, and prepared to examine an inpatient who left before being seen. It is relevant to hospital-based coders, physicians, and billing staff who need to understand how non-face-to-face work, missed encounters, and related E/M categories are treated at a high level.
Why This Topic Matters
It helps readers recognize when planned inpatient evaluation work may not result in a separately billable service and distinguishes that scenario from other non-face-to-face E/M services.
What You Will Learn
- How a missed inpatient encounter is viewed from a coding and billing perspective
- Which broad E/M service categories are discussed in relation to non-face-to-face work
- Why hospital-based documentation and patient presence matter for subsequent visit billing
- How the article frames work performed before a patient leaves without being seen
Who Should Read This
- Medical coders
- Hospital billing staff
- Physicians
- Compliance staff
- Practice managers
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