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Old 08-19-2008, 04:39 PM
kimb kimb is offline
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Question hospital admit

If a private pay patient comes into the office to see the physician and is admitted to the hospital can you charge a office visit? I know if it is Insurance related you can charge for the hospital admit, but you cannot charge for the office visit. Please help
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Old 08-19-2008, 06:09 PM
Herbie Lorona Herbie Lorona is offline
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I would say yes you can. Remember you can charge a office visit for insurance but they just wont cover the service!
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Old 08-19-2008, 06:17 PM
FMCKELVEY FMCKELVEY is offline
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Smile fmck

You should only charge for the admission....if it were Ins you would only
bill for the Admit. Always post your charges for private pay the same as
you would for Insurance-private or Medicare/Medicaid.
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Old 08-19-2008, 08:38 PM
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jas0426 jas0426 is offline
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Quote:
Originally Posted by FMCKELVEY View Post
You should only charge for the admission....if it were Ins you would only
bill for the Admit. Always post your charges for private pay the same as
you would for Insurance-private or Medicare/Medicaid.
I agree. You should not bill self pay any different than you would an insurance company. Still follow the same coding guidelines.

Happy Coding!
When will I get my results????Going insane!!!!
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Old 08-20-2008, 12:56 AM
lavanyamohan lavanyamohan is offline
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Quote:
Originally Posted by kimb View Post
If a private pay patient comes into the office to see the physician and is admitted to the hospital can you charge a office visit? I know if it is Insurance related you can charge for the hospital admit, but you cannot charge for the office visit. Please help
Hi,
Doctor should be charging for a high-level office visit and when he/she sees the patient the following day in the hospital, the initial hospital care code given. This is correct if the doctor does not visit the hospital on the date of admission.
But, if on the same day of patient's admission to the hospital, the doctor visits the patient, only initial hospital care codes are given. Office visit is not coded.
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Old 08-20-2008, 08:28 AM
Lisa Bledsoe Lisa Bledsoe is offline
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If an office visit ends up with a hospital admit, the admit only should be coded - provided the physician does see the patient in the hospital. Otherwise, you can't bill an admit without the proper place of service, therefore the office visit is the appropriate code. (as stated in the above post). As always, make sure documentation supports your level of service no matter what the place of service is...
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