decisionhealth Newsletters, Answer Books - 2009 Issue 1 (January)
Hospital Inpatient EM Services / Bundled hospital services
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare’s hospital bundling requirements for inpatient and outpatient services, including the general rule that hospitals bill for most services and supplies provided to hospital patients. It is relevant to coders, billing staff, compliance teams, and clinicians who work in hospital settings, because it explains the broad framework for what is included in hospital claims and what remains separately billable under Medicare. The discussion also places these rules in the context of hospital-based evaluation and management services and related Medicare payment arrangements.
Why This Topic Matters
Understanding the hospital bundling framework helps ensure hospital inpatient and outpatient claims are handled consistently with Medicare payment rules. It also helps distinguish hospital-billed services from professional services and other items that may be treated differently in non-hospital settings.
What You Will Learn
- How Medicare hospital bundling applies to inpatient and outpatient services
- Which broad categories of hospital services are addressed in the article
- How hospital-based professional services are distinguished from hospital-billed services
- How the article relates hospital bundling to evaluation and management guidance
Who Should Read This
- Medical coders
- Hospital billers
- Revenue cycle staff
- Compliance professionals
- Physicians and other hospital-based clinicians
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com