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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Admit Discharge same day

We are a teaching hospital and we often have hospital medicine residents that will see/admit a patient at night and then attending will see them the next morning. We want to make sure we are billing correctly for this.

Scenario:
Patient admitted to inpatient by resident at 10:00pm on 4/1/2019.
Attending sees patient at 8:00am on 4/2/2019. Attending makes their note, attests to resident note and decides to discharge the patient. There is an H&P and a Discharge summary.

What should be billed?

Also, same scenario, but admitted to Observation.
What should be billed?

Thank you.

Medical Billing and Coding Forum

99234-99236 Admit / Discharge Same Date

To calculate time of more than 8 hrs but less than 24 hrs guideline for admit/discharge same date (99234-99236), which of the following should be used?
a. ER/hospital arrival time and discharge
b. inpatient/observation order time and discharge
c. physician’s initial visit and discharge

Medical Billing and Coding Forum

Help with post surgical observation admit

A surgeon performed a colonoscopy on a patient and during the colonoscopy the patient became hypotensive. The surgeon decided to admit the patient to observation, but didn’t dictate a H&P on the day of admit. Surgeon did dictate a discharge for the following day. Would the provider only get the discharge cpt 99217? The admit would be incident to the procedure?

Thank you

Medical Billing and Coding Forum

Ortho to Hosp Admit

B][/B]I need some help with an e/m situation.
I have a doctor here in our Ortho practice that saw a patient on one day (lets say Monday) and admitted her that day to the hospital. He is also the operating surgeon and saw the patient the next day (lets say Tuesday) in the hospital and then preformed surgery that same day. How would I bill for the services on Monday and then am I allowed to bill for the initial hospital care on Tuesday along with the surgery or is the initial hospital care billed by the hospital and/or inclusive to the surgery. Can someone please help me understand everything that I can bill for in this situation? Thank you!:confused:

Medical Billing and Coding Forum

Can a Resident admit into the hospital with a Physician signature only?

I have a claim where the Resident did the HPI, ROS, PE, & listed the diagnoses, signed the note. However, the Physician did not attest to this Initial admit, and signed the note 2 days later. Can I bill this claim as a Res Only Admit?

Medical Billing and Coding Forum

Procedure admit with next day discharge

I have a patient who was admitted for a procedure with global (000). The E/M is generally included on day of procedure for global 000 but subsequent days can be billed. For this encounter I only billed the procedure. The patient was discharged the next day by the physician who did the procedure so I can bill for that physician since there is no global period. My question is can I use a discharge code since this was a discharge note even though I have no admit code to precede the discharge code?

Medical Billing and Coding Forum

Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions

LOUISVILLE, KY – MD2U Holding Company, including its related companies and individually named owners (“Defendants”), have agreed to pay millions to resolve a government lawsuit alleging that they violated the federal False Claims Act by knowingly submitting false medical claims to Medicare and other government health care programs, altering records to support false claims, and providing services that were medically unnecessary U.S. Attorney John E. Kuhn, Jr. today announced….

MD2U also utilized an electronic medical records (EMR) system that permitted the NPPs to easily electronically cut, copy and paste medical notes from prior visits. The ability to migrate notes from visits that occurred weeks, months, or even years prior to the current patient encounter created the illusion that MD2U’s NPPs were performing a significant amount of work during their patient encounters when, in fact, they were not. If the documentation was deficient to bill the highest level code, MD2U would direct NPPs to go back and change the medical record – after the encounter had occurred – to falsely show that more work was performed during the visit in order to support the highest level billing.

The post Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions appeared first on The Coding Network.

The Coding Network

Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions

LOUISVILLE, KY – MD2U Holding Company, including its related companies and individually named owners (“Defendants”), have agreed to pay millions to resolve a government lawsuit alleging that they violated the federal False Claims Act by knowingly submitting false medical claims to Medicare and other government health care programs, altering records to support false claims, and providing services that were medically unnecessary U.S. Attorney John E. Kuhn, Jr. today announced….

MD2U also utilized an electronic medical records (EMR) system that permitted the NPPs to easily electronically cut, copy and paste medical notes from prior visits. The ability to migrate notes from visits that occurred weeks, months, or even years prior to the current patient encounter created the illusion that MD2U’s NPPs were performing a significant amount of work during their patient encounters when, in fact, they were not. If the documentation was deficient to bill the highest level code, MD2U would direct NPPs to go back and change the medical record – after the encounter had occurred – to falsely show that more work was performed during the visit in order to support the highest level billing.

The post Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions appeared first on The Coding Network.

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