lfoster333
New
Hi, need professional coding opinions please 
So our hospitals do eMOLST for in and out patients. When they counsel a patient for an extended visit as an outpatient, they can bill for the extended E&M codes based on time which translates into a more expensive or highly reimbursed visit to discuss end of life planning. Question is when the patient is inpatient... if the attending (the person who is admitting and discharging the pt. like a Pulmonologist in the ICU or a Hospitalist) has that extra long conversation with the patient or family, can they get any extra money or is it all part of the DRG and makes no difference to how much the hospitals get reimbursed for that stay?
So our hospitals do eMOLST for in and out patients. When they counsel a patient for an extended visit as an outpatient, they can bill for the extended E&M codes based on time which translates into a more expensive or highly reimbursed visit to discuss end of life planning. Question is when the patient is inpatient... if the attending (the person who is admitting and discharging the pt. like a Pulmonologist in the ICU or a Hospitalist) has that extra long conversation with the patient or family, can they get any extra money or is it all part of the DRG and makes no difference to how much the hospitals get reimbursed for that stay?