Pediatric Coding Alert

Take this quiz to brush up on your inpatient coding.

Question 1:
Your pediatrician sees a patient earlier in the day at your office. Later that same day, your provider admits the patient to the hospital and visits the patient in the early evening. Do you bill for the office visit, the hospital admission, or both?

Question 2:
Your pediatrician admits a patient to the hospital, but does not visit this patient until the following day. Do you bill for the office visit, the hospital admission, or both?

Question 3:
A pediatrician from your practice admits a patient to the hospital at 10:30 AM. A different pediatrician, also from your practice, discharges the patient at 3:30 PM. The admitting physician wants to bill an inpatient code, while the discharging physician wants to bill an observation code. Which do you bill?

Question 4:
Another physician, not affiliated with your practice, admitted a patient, then asked your pediatrician to provide a consult. Do you bill for an initial visit, a subsequent visit, or a consult?

Think you know the answers?