missyah20
Expert
Hello There -
If a patient has been transferred from Inpatient Status to Swing Bed within the hospital and a general surgeon provides a consultation would we bill with a Nursing visit E/M?
From what I could find from CMS we would follow what the facility is billing. Is that correct?
CMS IOM 100-04 Chapter 12
D. Visits to Patients in Swing Beds
If the inpatient care is being billed by the hospital as inpatient hospital care, the hospital carecodes apply. If the inpatient care is being billed by the hospital as nursing facility care, thenthe nursing facility codes apply.
If a patient has been transferred from Inpatient Status to Swing Bed within the hospital and a general surgeon provides a consultation would we bill with a Nursing visit E/M?
From what I could find from CMS we would follow what the facility is billing. Is that correct?
CMS IOM 100-04 Chapter 12
D. Visits to Patients in Swing Beds
If the inpatient care is being billed by the hospital as inpatient hospital care, the hospital carecodes apply. If the inpatient care is being billed by the hospital as nursing facility care, thenthe nursing facility codes apply.