tci Part B Insider - 2004 Issue 38

Billing: Don't Wait For The Midnight Hour To Bill For Admission

3 simple rules for getting inpatient visits rightEven the carriers are confused about the rules for inpatient hospital visits (see Article 2). So what chance do you have of handling them correctly?Not to worry, say experts. Just remember these simple ground rules: 1) When two physicians are co-managing a patient, they should both bill subsequent visits unless one of them meets all the consult requirements. Keep in mind that the rules for a consult are quite stringent, notes Karen Jeghers, manager of Compliant Billing Services in Carver, MA. The admitting physician must ask for the consulting physician's opinion...

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