tci Part B Insider - 2007 Issue 8

PART B MYTH BUSTER: 'Bounty Hunters' May Be Scrutinizing Your Inpatient E/M Visits

Beware:  An office visit can't count as a hospital admissionMyth: Your doctor can bill for a hospital -admission- even if she did not see the patient in the hospital. Truth: In fact, there's no code for hospital admission. To bill for an initial inpatient visit (99221-99223), your doctor must visit the patient in the hospital and perform a history and physical exam there.Oftentimes, the physician will see the patient in the office and then admit him to the hospital. The doctor may not see the patient in the hospital on the same day, but will still want to...

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