arkassabaum
Contributor
Having frustrations with determining the e/m level for a hospitalist on an obs visit.
I suppose the confusion lies within the DOS versus when the patient was seen by the hospitalist and when he dictated.
Example: date of service 5/6/15 to 5/7/15 but the provider only saw the patient on 5/7. He dictated an H&P and a Discharge Summary on 5/7/15.
What should the charge be, 99218 only? or 99234?
He was admitted to obs 5/6/15 by the ED phy, then was not seen until 5/7/15. So his length of stay is 5/6/15 to 5/7/15, but the dr saw him and dictated 5/7/15.
Please clarify, Thank You
I suppose the confusion lies within the DOS versus when the patient was seen by the hospitalist and when he dictated.
Example: date of service 5/6/15 to 5/7/15 but the provider only saw the patient on 5/7. He dictated an H&P and a Discharge Summary on 5/7/15.
What should the charge be, 99218 only? or 99234?
He was admitted to obs 5/6/15 by the ED phy, then was not seen until 5/7/15. So his length of stay is 5/6/15 to 5/7/15, but the dr saw him and dictated 5/7/15.
Please clarify, Thank You