our providers admit to observation but fails to meet the documentation requirements in their H&P note, meaning he only has the following:

Expanded problem focused history
Comprehensive Exam
Comprehensive MDM

He isn’t meeting the 3 out of 3 needed for the lowest level admit to observation 99218. What are our options at that point? Billing 99499 or not billing anything at all? If I don’t bill the admission code for this reason….can we bill our discharge code the following day?