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Question??????

L

LOVE2CODE

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Landover, MD
DOS 11/2/09 --If a IM Resident (under permission of Admitting Doc) admits a patient @11pm and did a H & P, can the Admitting Doc charge for the H & P on that day and then charge for establish visit on DOS 11/3/09?
 
Who is the payer?

Government payers (Medicare, Medicaid, AFDC) require face-to-face contact by the teaching physician. So you would code the Initial Hospital Visit on the date the TP FIRST saw the patient (11-03-09 in your scenario).

Commercial payers typically allow the "supervision" to be done by any means, including a phone call. So if the resident completed the evaluation and admitted the patient on 11-02-09 after speaking with the attending on call by phone, then you could code the Initial Hospital visit on 11-02-09.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
FTessaBartels said:
Government payers (Medicare, Medicaid, AFDC) require face-to-face contact by the teaching physician. So you would code the Initial Hospital Visit on the date the TP FIRST saw the patient (11-03-09 in your scenario).

Commercial payers typically allow the "supervision" to be done by any means, including a phone call. So if the resident completed the evaluation and admitted the patient on 11-02-09 after speaking with the attending on call by phone, then you could code the Initial Hospital visit on 11-02-09.

Hope that helps.

F Tessa Bartels, CPC, CEMC
Click to expand...

Thank you for your response....I will inform the Physicians of this....Do you know where I can find this in any literature? You know sometimes, you have to have it in writing for them to change.:)
 
Last edited:
There is an excellent article addressing this scenario on another great coding listserv called Codapedia. Seth Cantebury, who is an extremely knowledgeable CPC, posted an article with some points for consideration to bill in this scenario. See http://www.codapedia.org/index.cfm. This post is listed on the home page under "Most Popular Entries."
 
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