1. SharonCollachi

    Discharge from 61-Inpatient Rehab Hospital - who does the work and who bills?

    I'm going to try to give as much information as possible, without rambling on (but I think that ship has already sailed!). Background: Three independent doctors see patients at an inpatient Rehab Hospital. They are all of the same specialty, not of the same practice. They all see their...
  2. C

    Hospital discharge codes 99238 & 99239

    I'm seeking feedback on the time statement requirement for hospital discharge code 99238. I interpret the guideline to state that time must be documented for BOTH 99238 and 99239. However, I have a co-worker that states that guideline only requires the time statement (30 minutes or greater)...
  3. C

    99234-99236 Admit / Discharge Same Date

    To calculate time of more than 8 hrs but less than 24 hrs guideline for admit/discharge same date (99234-99236), which of the following should be used? a. ER/hospital arrival time and discharge b. inpatient/observation order time and discharge c. physician's initial visit and discharge
  4. C

    Admit Discharge Same Date 99234-99236

    Patient arrived in ER July 30 at 9 p.m. Resident physician evaluated patient on July 30 at 11:00 p.m., then placed an inpatient status order at 11:45 p.m. Attending physician evaluated patient the following morning on July 31 at 6 a.m. Patient was discharged on July 31 at 12 p.m. Would...
  5. C

    NUBC and Occurrence Code 42 for Home Health Discharge Claims UB04

    Does anyone know about using Occurrence Code 42 in UB04 Field Locator 31 for discharge (321 or 324 type of bills) and if that is still a rule for Home Health? (I know it changed for Hospice in 2012). Thanks!
  6. L

    Resolved Diagnosis on Discharge Summary

    Does anyone know if resolved conditions can be coded on a discharge summary? This is for the pro-fee coding of either 99238 or 99239, such as if a patient is admitted for pneumonia, and on the discharge summary it states "pneumonia-resolved", with no other diagnosis, would you still code...
  7. M

    Subsequent Hospital Visit and Discharge Management on Same Day

    Need help on this please. Thanks! :) How should the physician bill if they provide subsequent hospital care visit before the patient dies on the same day? I know that physicians may not bill for both a hospital visit and hospital discharge management for the same date of service. Scenario: On...
  8. A

    patient can not be discharged due to placement issues

    Already have been resolved. Thank you
  9. D

    Mult days in OBS

    If we have a pt in the hosp for OBS for mult days, how would that be billed exactly? Pt admitted to OBS on 01/12 did a consult, 01/13 fu visit, and procedure and discharge on 01/14. Or vice versa, pt has procedure on 01/12, fu 01/13, discharge on 01/14. These always confuse me.
  10. J

    Hospital Discharge date-of-service

    A provider does a discharge summary on one day and the patient is not really discharged until the following day, which DOS do we use for the discharge? If we use the DOS for the real discharge day but the discharge summary has the day before’s date on it, do we need an addendum in order to bill...
  11. L

    Discharge and Readmit on same DOS

    I have a patient that was discharges from OBVS and came back into ER an hour later admitted to OBVS again. Dr. 1 discharged, Dr. 2 readmitted both from same hospitalist group. Can I bill the discharge and admit on same day with a modifier? or how would that work? Thank you.
  12. M

    Discharge Question

    I have a patient whose surgery was performed by one physician and was then discharged by another. Can I bill for this, and if so do I need a modifier? The diagonsis for the surgery and the discharge diagnosis are different. Thanks.