Wiki Observation same day admit/discharge but two different providers from same group

[KoBee]

Just want to make sure I'm understanding the guideline correctly..

Patient is admitted and discharge on same day by two different providers who belong to the same group practice ...

Provider who admitted patient to observation is the one who gets billed with 99234-36 .. ??

Is that correct?

Help please!

 

[meghanhannus]

Hello michiboo,


Yes, that is correct the admitting physician should be billing the e/m service 99234 as long as the physician satisfies the E/M documentation guidelines for admission to and
discharge from inpatient observation or hospital care. Also, I would not bill with modifier 36 as I do not think it is a valid modifier.

Hope this helps~