tci Medicare Compliance & Reimbursement - 2011 Issue 4

Reader Questions: Know When to Report Hospital Admission Codes

Question: Our physician saw a patient in the office, then admitted her to the hospital later the same day. Can we bill for the office visit and the first day of admission, or do we just bill for the hospital stay?Answer: The answer depends on whether the physician sees the patient on the same day in the hospital.Scenario 1: If the physician sees the patient in the hospital on the same day he saw her in the office, you're looking at two face-to-face visits on the same date. Report only the appropriate initial hospital care code (99221-99223...

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