tci ED Coding & Reimbursement Alert - 2017 Issue 4

Reader Question: You Have to Admit It, You Need an Admission Order to Report Codes 99218-99220

Question: We bill for emergency physicians who have just had added a Chest Pain Center to their ED. Therefore they are using the observation codes in that area. Can you help us with the following scenario? Patient is admitted to observation on Monday at 2:00 pm and remains there until Tuesday at 11:00 am when the patient is admitted to the hospital. The inpatient admission is not made by the emergency physician, but by another physician that has taken over the care shortly before 11:00 am. The emergency physician has treated and documented care for the second day until...

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