tci Medicare Compliance & Reimbursement - 2014 Issue 17

Hospital Outpatient Reimbursement: Hone Your Same-Day Coding Skills to Avoid Denials

Tip: Distinguish different specialties being billed by the same facility/entity with modifier 27. Are you sure you know what to do when one of your patients is seen for more than one hospital outpatient visit in one day? Don’t get lost in the plethora of modifiers you can choose from. Know how you should report your physician’s services when the patient sees another doctor in the hospital outpatient setting on the same day to ensure your practice gets every dollar you deserve. 4 Points to Adopt There are times when a patient will need more than one...

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