Hi,
I am an inpatient physician coder. I code for a number of hospitalist and am seeing this scenario more and more. The patient is initially seen by the hospitalist on 7/3/11 in observation. The hospitalist dictates his/her H&P. The next day the hospitalist rounds and the patient is still in observation. The next day the hospitalist writes the order to have the patient admitted to inpatient status. The hospitalist then rounds the next 2 days and finally discharges the patient on the 3rd day of inpatient status. So here it is:
7/3/11 Observation initial visit and H&P
7/4/11 still in observation
7/5/11 orders written to inpatient status (hospitalist dictates a subsequent visit progress note.)
7/6/11 inpatient
7/7/11 inpatient
7/8/11 face to face and discharge dictated
How should this be coded? Any help and direction is appreciated.
I am an inpatient physician coder. I code for a number of hospitalist and am seeing this scenario more and more. The patient is initially seen by the hospitalist on 7/3/11 in observation. The hospitalist dictates his/her H&P. The next day the hospitalist rounds and the patient is still in observation. The next day the hospitalist writes the order to have the patient admitted to inpatient status. The hospitalist then rounds the next 2 days and finally discharges the patient on the 3rd day of inpatient status. So here it is:
7/3/11 Observation initial visit and H&P
7/4/11 still in observation
7/5/11 orders written to inpatient status (hospitalist dictates a subsequent visit progress note.)
7/6/11 inpatient
7/7/11 inpatient
7/8/11 face to face and discharge dictated
How should this be coded? Any help and direction is appreciated.