CPT® code and guideline changes show a shift towards collaborative care and behavioral health management. With the release of CPT® 2018, we see major changes in coding throughout the Evaluation and Management (E/M) section. New codes and chapters were added for collaborative care management (CoCM) and behavioral health management. Let’s review these complex changes, which ...
When a patient is placed in observation status, know the documentation guidelines for time. Occasionally, a physician will need to observe a patient in the hospital for a time beyond that of a single-visit encounter. In these instances, instead of admitting the patient as inpatient status, the physician may admit the patient as observation status ...
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 Billing
Feb 3rd, 2017
Effective Feb. 21, 2017, hospitals and critical access hospitals (CAHs) must provide the Medicare Outpatient Observation Notice (MOON), or CMS-10611, to patients with Original Medicare who are receiving outpatient observation services for more than 24 hours. The MOON must be delivered to applicable patients no later than 36 hours after outpatient observation services begin, but ...
Sep 23rd, 2015
Health and Human Services (HHS) Secretary Sylvia Burwell must justify hospital payment reductions proposed for when the Two-midnight Rule, currently on hold, is implemented, a federal judge ruled Sept. 22. The Two-midnight Rule for Medicare proposes considering short-term hospital stays as inpatient admissions if they span two midnights. They are currently billed as an outpatient ...