Wiki osbservation/inpatient billing

[vicki talley]

Insurance is denying claim because pt was in observation for 2 days and then admitted to inpatient what is the best way to bill for this???

Thank you in advance
Vicki

 

[FTessaBartels]

What DID you bill?

What DID you actually code/bill?
What exactly is being denied? and for what reason?

F Tessa Bartels, CPC, CEMC

 

[kbarron]

You cannot have an observation and inpatient on the same day> what we do is IE pt in obs for 2 days ,MD decides to admit full we do not use the 2 day as pos obs we use inpt with the minimal admit code.