nyyankees
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We have a Dr who has been using 99239 (Hospital Discharge) for some of her patients. We have an authorization for this from their ins co's BUT what's happening is:
The patient is having surgery (with a differnet DR) and staying LESS than 24 hours in the facility and the surgeon/anestesiologsits are billing out their cliams as Outpatient. We are now, of course, receiving denials for no authorization. (I am assuming because it should be billed as an outpatient E/M service - not sure though).
Could you please point mt in the right direction as to how to bill this visit correctly (as she is doing the service - I think just using the wrong E/M code) and where I can find some literature/documentation to support these findings when I go back to her and ask her to change/update her E/M selection.
Thank you.
The patient is having surgery (with a differnet DR) and staying LESS than 24 hours in the facility and the surgeon/anestesiologsits are billing out their cliams as Outpatient. We are now, of course, receiving denials for no authorization. (I am assuming because it should be billed as an outpatient E/M service - not sure though).
Could you please point mt in the right direction as to how to bill this visit correctly (as she is doing the service - I think just using the wrong E/M code) and where I can find some literature/documentation to support these findings when I go back to her and ask her to change/update her E/M selection.
Thank you.