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Pediatric Coding Alert

Your Top 3 Hospital E/M Billing Questions Answered

Published on Tue Jun 05, 2012

Can you navigate the intricacies of inpatient E/M services? Check these expert solutions. You may be able to select outpatient E/M codes (99201-99215) with your eyes closed, but inpatient E/M coding can be a bit more tricky. With auditors scrutinizing E/M billing like never before, you should consider these commonly-asked questions to get the lowdown on how to report your hospital services. Physician Presence May Dictate Code Question: Our pediatrician saw a patient in the office, then admitted her to the hospital later the same day. Can we bill for the office visit and the first day of admission, or do we just bill for the hospital stay? Answer: The answer depends on whether the physician sees the patient on the same day in the hospital. Scenario 1: If the physician sees the patient in the hospital on the same day he saw her in the office, you're looking at [...]
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