Question 99217

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Is anyone having any issues getting the code 99217 paid? Our physicians are the "hospitalist" or on call for all unassigned patients. There are times that patients are admitted through the ER after business hours and are set at an observation status. Then the following morning our physician sees the patient and decides they are stable enough to go home. So the physician only dictates a discharge summary. To my knowledge the code 99217 is the only code we can bill for Medicare patients because they spent the night so it is not a same day admit and discharge. Any suggestions....are we coding this wrong? This is what we have done for years but all of a sudden we are having issues with Managed Care Medicare Plans.

Thank you.