• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Hospital E&M codes for pos 61

Create Wiki
M

medipro5

Contributor
Messages
22
Location
Bohemia, NY
Best answers
0
Hi, does anyone know what E&M codes are appropriate for Comprensive Inpatient rehab? We used hospital inpatient codes and Medicare is stating we should've used Snf codes? dont know if I should fight it or recode. I appreciate your input!

Debi
 
medipro said:
Hi, does anyone know what E&M codes are appropriate for Comprensive Inpatient rehab? We used hospital inpatient codes and Medicare is stating we should've used Snf codes? dont know if I should fight it or recode. I appreciate your input!

Debi
Click to expand...

Our physiatrists see patients in inpatient rehab units; we file using POS 61 and the inpatient codes 99221-99223; 99231-99233; 99251-99255. Never had problems with Medicare (Novitas) or commercial payers doing it this way. Have you filed claims for this same POS before? If yes, any problems? Maybe check with the facility and see how they are registered with Medicare?
 
Meagan thank you. That's what I thought. I will fight it. Medicare NY has enlisted a private audit service to review these claims, but I've always gotten paid in the past. I appreciate your feedback.

Debi
 
You must log in or register to reply here.
Top