Wiki Prolonged Care for Hospitalists

[cerullhon]

When a patient is rounded on more than once in 24 hours, can we bill Prolonged care as an add on to the original E/M code? Usually, the 2nd visit is by another provider so am I correct that it would go under the first provider that rounded that day?

Does anyone have any info/examples on the documentation guidelines?

Are Prolonged Services a red flag for the OIG? (I read that somewhere). Any experiences with that?

Thank you.

 

[CodingKing]

Here is an older AAPC blog post. It does allow for a break in time as long as its the same day. They use rounding as an example.

https://www.aapc.com/blog/24865-avoid-prolonged-services-pitfalls/

 

[cerullhon]

Thank you , this helps a lot!