tci Medicare Compliance & Reimbursement - 2015 Issue 13

Reader Question: Put 99221/99211 Confusion Behind You With a Simple Query

Question: Our provider admitted a patient for observation, but documentation of initial admission had not been done. We are using office visit codes 99211-99215; however, the patient is seen the following two days in observation. Can we bill subsequent observation codes? Or does the follow-up observation need to be billed with office visits codes as well?  Answer: When the patient is in observation status and the documentation of admission cannot be confirmed, send a query to the facility asking for documentation of admission. If you receive inpatient documentation, then report the appropriate inpatient codes (99221-99223). Office visit codes...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!