tci Part B Insider - 2010 Issue 4

INPATIENT CARE: Watch Out for These Hospital Discharge Pitfalls

Note five mistakes that could cost you thousands. Even coders who have a firm grasp on coding hospital care get confused about how to report discharge services (99238-99239) -- but read on to avoid the following five problems: 1. Multiple physicians. Several physicians might be managing the care of a patient, and all might try to bill for the discharge -- but only the attending physician should bill for the discharge, CMS indicates. The Medicare Claims Processing Manual notes, "Only the attending physician of record reports the discharge day management service. Physicians or qualified nonphysician practitioners, other than the...

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