You Be the Coder:
Gear Up for Changes in Reporting Observation Services
Published on Fri Sep 16, 2022
Question: The otolaryngologist meets an established patient at the hospital with symptoms of dehydration and tinnitus at 7 p.m. Thursday. She orders observation care, and the hospital places the patient in an outpatient observation bed. During that time, the ENT documents an extended history of present illness (HPI), detailed review of systems (ROS), complete past/family/social history (PFSH), and comprehensive physical exam. [...]