Is Acupuncture reimbursed in the inpatient setting? Is billing inpatient different than billing outpatient acupuncture services?
Thank you all
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Tag Archives: Inpatient
coding inpatient face to face family consult
I have a dr who sat down with a pt’s parents for 1 1/2 hour documented time to discuss pathology and an aggressive treatment plan all clearly documented in her notes.
This included going over MRI, pathology reports, surgical scheduling for port placement, radiation, chemo and other critical components necessary for the child’s care.
This included going over MRI, pathology reports, surgical scheduling for port placement, radiation, chemo and other critical components necessary for the child’s care.
The doctor coded this as a 99255, 99356 and 99357 I am leaning to 99358 for the 1st hour and 99359 for the half hour
is this correct?
Jean
Outpatient in a Bed…not Observation or Inpatient
If my cardiologist is asked to see a patient at the hospital who is classified as outpatient in a bed…neither inpatient or observation…how do I/can I code for that and what E&M would be used if so? Provider was recently called in to consult a patient as a second opinion for a Watchman and the patient was classified as outpatient in a bed.
Thank you.
Inpatient Rehabilitation CPT codes
Hi all-
Can anyone point me in the right direction for inpatient rehabilitation CPT codes?
Any help is greatly appreciated
Can anyone point me in the right direction for inpatient rehabilitation CPT codes?
Any help is greatly appreciated
Auditing hospital inpatient and hospital outpatient services
Hello forum!
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.
Inpatient billing for Medicare
I hope someone can help!
We are a CAH and have a few patients that have been admitted as inpatient to the hospital. The insurances are Medicare part B only and Utah Medicaid.
My problem is, because it is inpatient and part B only, all claims are coming back from Medicare as "Patient cannot be identified as our insured."
So, we then bill Medicaid, and they reject it saying we have to bill Medicare first.
How do we deal with this?
Coding e/m visits in the same day with an admission as observation then as inpatient
A physician sees a patient in his office in the morning and then again early that afternoon at which he send the patient to the hospital in observation status. Later that day he visits the patient in the hospital and admits the patient as full inpatient. Ehat E/M codes are billed for this?
Outpatient services billed when a patient is an inpatient
Looking for guidance on what services can be billed as an outpatient service when the patient is an inpatient.
Observation to inpatient
Hello,
i wanted to get opinions on billing a cah claim for a patient that was admitted as observation and transfered to inpatient in the middle of stay.
Scenario: Pt comes into ed jan 1, admitted to obs jan 1. On jan 3rd physicain transfered pt care to inpatient (not from beg of stay). Pt discharged jan 5 from inpatient.
Do we split bill jan 1-2 outpt and 3-5 inpt?
Bill inpt claim with an admit date of jan 3 and a statement date of jan 1-5,
do we bill inpt claim with obs hours for jan 1-2 and then rrom and board for jan 3-5?
Any advice would be helpful.
Thanks,
new to billing inpatient claims for behavioral health hospitalists
Dear colleagues: Hospitalist on rounds to see non-MCR patient for first time is called back later in the day for another different issue for the same patient. Initially, the first time the patient was seen was recorded as new patient, and 2nd time on this same day, doctor entered "established patient". It’s my understanding that both visits should be combined into ‘one service" to meet criteria, but just want to make sure the visit would go out as a NEW PATIENT visit. Initial visited coded as 99222 and subsequent same day followup as 99231 for different issue altogether.
I’m trying to find an authoritative document specifically outlining an issue such as this.
Hope someone can jump in with some advice!