E/m level 99221 - 99223 and 99231-99223 initial and subsequent hospital care

teresa

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Please help, can we as the hospital charge a e/m level for inpatient for a doc either employed or not by the hospital, even if the doc charges a e/m level through their clinic. We are having a discussion on this issue and of course we all do not agree and need outside advice. Or do you know where we can find the answer. Thanks teresa
 

jdibble

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Please help, can we as the hospital charge a e/m level for inpatient for a doc either employed or not by the hospital, even if the doc charges a e/m level through their clinic. We are having a discussion on this issue and of course we all do not agree and need outside advice. Or do you know where we can find the answer. Thanks teresa
I am not sure if I am understanding your question fully, but here goes:

The E/M level is the physician's work - and is billed for/by the physician. If the physician is a paid employee of the hospital, then the hospital would bill for the physician's services using the appropriate E/M level based on the documentation. If the physician is not an employee of the hospital, they will bill for there own E/M charges and the hospital can not bill for their E/M services.

Hope that helps.
 
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