tci Part B Insider - 2006 Issue 1

DISCHARGES: Don't Lose Money On Hospital Discharge Management

Be prepared to appeal downcoads from skeptical carriersWhen it comes to hospital discharge day management, time is of the essence.Downcoded: Many physicians fail to document the time they spent on hospital discharge day management, and so their claims are downcoded from 99239 (more than 30 minutes) to 99238 (30 minutes or less). According to a frequently asked questions (FAQ) file posted by Part B carrier HGS Administrators, this is a common problem. Documentation should include things like the physician's final examination of the patient, a discussion of the hospital stay, instructions for continuing care, preparation of discharge records...

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