Observations Charges

kendalb

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How can observations be billed to Medicare to include the ER visit for the previous day? I have added the occurrence span code 72 with the date of the ER visit and Medicare is still denying the claim for dates of service outside the service date range. An example is below.

The patient presented in the ER on 7/15/16 at 10pm. The patient was changed to observation status on 7/16/16 at 2am. The dates of service on the claim only reflect 7/16/16. The ER charges still have to be billed on the claim.

The occurrence span code 72 is supposed to notify the provider that there are outpatient dates of service prior to the observations dates.

Any help will be greatly appreciated. :D
 
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Emergency and Observation...

Hi...

If same physician done on this service(Emergency and Observation) subsequently,bill only Observation service. If both the service performed by two different physicians bill emergency service and observation services.

Thanks!
 
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