Hospital coding is not my thing…let me just say that first! I had a friend of mine take over a CFO position at a hospital and they are asking what the going rate is per case to audit inpatient records and outpatient records. Since this is not my lane I have no idea. Is anyone out there willing to give a general idea of how much the going rate is for these types of audits? Would appreciate some feedback. They are getting different rates depending on inpatient or outpatient which makes sense, I just don’t have a good feel where the competitive rates might be.
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 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 Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Hospital
Hospital admission
Critical Care in ER hospital #2 receiving transfer for higher LOC from ER hospital #1
I would appreciate some feedback on coding ER Critical Care for the facility side as I am coding for a new situation. The patients have been transferred from one ER dept to a second for a higher level of care. The patients have been diagnosed & possibly treated at the first ER dept but need a neurosurgi or other consult and are then generally admitted at the second hospital. They may undergo full body CT scans & receive IV meds at the second ER dept in addition to a neurosurgi consult or they may just have the consult. I am coding for the second ER facility which follows adapted ACEP facility level coding guidelines. The dxs the trauma patients have include subdural hematoma or vertebral fx unstable or pulmonary contusion or a combination of fxs and head & body injuries.
My question is whether the visit at the second ER dept qualifies for critical care. The guidelines say that possible critical care interventions include ‘major trauma care/multiple surgical consults’. The ER MD is stating critical care has been provided at the second ER so this along with the dx tells me that there is much concern for ‘life threatening deterioration in the patient’s condition’. I am unsure whether neurosurgi consult alone is enough to qualify for critical care especially as the patients have been stabilized to a degree at the first hospital. The cases I am struggling with are NOT the ones where the patient requires emergent endotracheal intubation or CPR, etc. I would like to understand better what constitutes ‘major trauma care’.
I welcome your thoughts on this topic. Thank you,
Ellen
Hospital Billing for NB
CPC-a looking for remote coding CPT heavy or Florida Hospital Flagler loc.
Please reply to my personal email [email protected]
Deanna L. Switalski, CPC
Multiple Doctor Practice – hospital billing
IM Consult during Obsterics Hospital IP stay; diagnosis help
I am having issues deciding on a principal diagnosis for an IM visit in the course of an OB visit.
I am currently billing for an IM physician who is seeing a patient for a consult for Hyperthyroidism and Grave’s disease. The patient was IP for a 39 week delivery with fetal demise.
Since the patient was originally there for her delivery would the principal diagnosis be the reason the IM Dr. saw her or would it be the obstetric diagnoses?
Thanks.
Critical care and subsequent hospital care code
Thanks!
Initial hospital care
Thanks so much!!!