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Pulmonology Coding Alert

Do Admit Codes and Admission Have to Show Same DOS?

Published on Sat Sep 26, 2009

Overlook this rule and risk leaving E/M dollars on the table. When the physician admits a patient from another site of service on day one but doesn't see the patient in the hospital until day two, choosing the date of service for your claim can raise some questions. Knowing the answers not only keeps your date of service accurate, but also may add to your bottom line. Consider the following scenario offered by Dolly Cooper, CMC, and Brenda Mantia, CMC, who work with a 10-physician practice in Shreveport, La. Scenario: The patient is admitted at 11:57 p.m., May 1. The physician sees the patient in the hospital for the first time at 2:00 a.m. on May 2. You decide: Would you choose May 1 or May 2 as the date of service (DOS) for the physician's visit? Match Your DOS Choice Solution: May 2 is the correct choice. The DOS [...]
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