We saw a patient in our office on same date they were discharged from an inpatient stay at hospital (OV, xrays, FX care). We never saw the patient at the hospital. Mcr denied stating claim not covered by this payer/contractor. I sent appeal w/ copy of discharge showing patient was seen in our office later that date, after dischage. Appeal denied stating services done in an office setting, with a DOS that falls within our admission/discharge date on a hospital IP bill, should be billed to Part A.
I'm really stumped on this one. Do I need to send our charges to Part A? Any opinions would be appreciated.
Lisa
I'm really stumped on this one. Do I need to send our charges to Part A? Any opinions would be appreciated.
Lisa