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Placement Into Observation Status After Midnight

Posted on January 17, 2019 by CPC Exam Medical Coding Updates

In the ED setting, if a patient is seen by the ED provider at 11:00pm on one date, for example January 10, then the ED provider decides to place the patient into observation status in the ED at 12:30pm the next calendar day, January 11, does the service date for observation care reflect January 11 rather than the 10th?

Thank you!

Medical Billing and Coding Forum

ER visit that spans midnight and pt is admitted

Posted on September 20, 2018 by CPC Exam Medical Coding Updates

We have claims that are being denied due to outside the span of dates. The patient comes to the ER on 9/1/18 and is admitted after midnight to Observation on 9/2/18. Our admit date is going to be 9/2/18, but all charges for the ER, labs, and x-rays from 9/1/18 are being denied for outside the span of dates. Does anyone have any suggestions?

Medical Billing and Coding Forum

Er visit that spans midnight then admitted to obs

Posted on September 20, 2018 by CPC Exam Medical Coding Updates

When a patient comes into the ER on 9/1/17 and it spans midnight then the patient is admitted to Observation with the admit date 9/2/18. Medicare is denying all charges (labs,x-ray) on 9/1/17 due to outside span dates. Is there something that we can do to get the services done on 9/1/17 paid?

Medical Billing and Coding Forum