tci Part B Insider - 2005 Issue 22

Hospital Discharge Coding: Add $25 To Your Discharge Pay With Proper Documentation

Educate physicians to note time spent on discharge managementIf your physicians aren't documenting the time spent on discharges, your rightful reimbursement could be walking away along with the patient.  Medicare recognizes two codes for discharge planning: CPT 99238 (30 minutes or less) and 99239 (more than 30 minutes). "A lot of the doctors are spending more than 30 minutes with their patients in discharge planning but they don't document that," says Charol Spaulding, vice president of Coding Continuum of Tucson, AZ. "I have rarely seen any physicians document time on a discharge summary, even if they bill...

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