tci Part B Insider - 2005 Issue 22

Hospital Discharge Coding: Watch Out For These Discharge Planning Pitfalls

6 mistakes that could cost you thousandsIf you manage to train your physicians to document the time they spend on hospital discharges (99238-99239), that won't be the end of your worries. There are still many other potential problems with discharge planning, including: Non-eligible patients. Sometimes a patient may not be eligible for a discharge code, notes Jennie Horner, a coder with Southern Ohio Medical Center in Portsmouth, OH. This can happen if the patient never left the emergency room and thus was never admitted as an inpatient, in which case the physician should use the observation codes instead. This...

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