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Contributor
Good Afternoon,
I am a practice manager for an OB-GYN practice needing some help. We perform many GYN procedures on an outpatient basis but the hospital claims we need to bill them as inpatient since specific CPT codes are designated as inpatient per CMS. Intuitively, this makes no sense to me. Why would we bill something out as inpatient when the patient is released same day? It feels fraudulent to me to do this.
Any takers on this one?
Thanks,
Teri Werder, MHA, CPC
I am a practice manager for an OB-GYN practice needing some help. We perform many GYN procedures on an outpatient basis but the hospital claims we need to bill them as inpatient since specific CPT codes are designated as inpatient per CMS. Intuitively, this makes no sense to me. Why would we bill something out as inpatient when the patient is released same day? It feels fraudulent to me to do this.
Any takers on this one?
Thanks,
Teri Werder, MHA, CPC