tci Medicare Compliance & Reimbursement - 2012 Issue 12

Hospital E/M Billing: Get The Skinny On The Intricacies Of Inpatient E/M Services

Let our experts help you avoid potential OIG scrutiny.Selecting outpatient E/M codes (99201-99215) may be a cakewalk for you, but watch out for the inpatient E/M coding minefields. Recently, the OIG sent CMS a list of 1,700 physicians who were identified as "consistently billing higher-level E/M codes in 2010." Consider these commonly-asked questions to get the lowdown on how to report your hospital services before the OIG starts looking at you.Physician Presence May Dictate CodeQuestion: Our physician saw a patient in the office, then admitted her to the hospital later the same day. Can we...

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