In Coding
Jun 26th, 2017
If a patient is placed under observation status and is discharged on the same date of service, proper coding will depend on whether the observation status lasted fewer than, or more than, eight hours. — For observation status lasting fewer than eight hours, report initial observation care (99218-99220 Initial observation care, per day, for the ...
In Coding
May 6th, 2015
When a provider admits a patient to observation, he or she is evaluating a patient’s condition to see if it resolves (in which case the patient can go home) or worsens (in which case the patient may be admitted). To qualify for observation, the service must be medically necessary. The physician must date and time ...
In Billing
Mar 13th, 2014
Question: Proper coding for observation services (e.g., initial observation care 99218-99220 and observation care, including discharge, 99234-99236) depends upon the time the patient spends under observation, but when does the service officially start? Is it when the patient begins to receive services at the hospital? Is it from the time the order is written? Is ...
In Coding
Aug 30th, 2013
Medicare Claims Processing ((PUB. 100-04) Chapter 4 – Part B Hospital (Including Inpatient Hospital Part B and OPPS) 290 – Outpatient Observation Services) defines observation services as “… ongoing short term treatment, assessment, and reassessment … furnished while a decision is being made regarding whether patients will require further treatment as hospital inpatients …” Report...
Mar 1st, 2012
Be sure to include the required documentation to support the new level of service. By Jules Enatsky, RT, BSN, CPC-H edicare observation services have been around since ambulatory payment classifications (APCs) came into existence. They provide a means to compensate hospitals and professional fee providers for outpatient services when there is uncertainty whether a patient ...