• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Pacemaker Interrogation and Hospital Discharge

crberman

Networker
Messages
43
Location
East Stroudsburg
Best answers
0
Hi,

I need some help with two things.

A patient goes in to the hospital through the ER and is assigned to observation for syncope. My doctor is asked to see him since he is his long time patient.

1. Even though my doctor didn't assign him to obs he was asked to do the discharge summary, can I bill for a discharge summary or should I bill a regular out patient visit?

2. Doctor did a pacemaker interrogation along with the pacer rep with doctors portable equipment, can I bill for the pacer interrogation?

Thank you for your help,
Christine
 

junebug1969

Networker
Messages
31
Best answers
0
Hello Christine,

Hopefully some other people will give opinions on this, but I'll tell you what we do.:)

1. We don't bill a discharge unless we are listed as the admitting/attending on the hospital facesheet. If there is a request from a physician (ER doc, etc.) to see the patient (even if we are their regular cardiologist), then we will bill a consult. (Unless of course it is not a Medicare patient, and all the elements of a consult are met.)

2. You can bill for the pacer interrogation. We make sure that we get the documentation from the hospital that shows the information about the interrogation. Also, if the interrogation resulted in a change in the programming, you would of course bill that instead of just the interrogation.

Hope this helps!
 

crberman

Networker
Messages
43
Location
East Stroudsburg
Best answers
0
Thank you junebug1969

That is what I was thinking but sometimes I seem to question myself so I like to get someone elses opinion.

Christine
 
Top