lilleyea
Networker
Good morning,
I had a strange situation that I was hoping I may get some guidance on...
The patient was admitted by the ED doctor to observation status before midnight. After midnight, the Hospitalist formally admitted the patient to inpatient status. Later that same evening, another Hospitalist in the same group discharged the patient.
I bill for the Hospitalist group, so I am not sure what the ED group billed for. I would assume that since the ED doctor documented ED observation admission, they would have billed 99218-99220. So the next morning, when the Hospitalist admitted the patient to inpatient status, do we just bill the initial inpatient charge 99221-99223? And then the discharge later in the day by a different hospitalist is just not billable at all? Any advice or guidance would be much appreciated!
Thank you!
I had a strange situation that I was hoping I may get some guidance on...
The patient was admitted by the ED doctor to observation status before midnight. After midnight, the Hospitalist formally admitted the patient to inpatient status. Later that same evening, another Hospitalist in the same group discharged the patient.
I bill for the Hospitalist group, so I am not sure what the ED group billed for. I would assume that since the ED doctor documented ED observation admission, they would have billed 99218-99220. So the next morning, when the Hospitalist admitted the patient to inpatient status, do we just bill the initial inpatient charge 99221-99223? And then the discharge later in the day by a different hospitalist is just not billable at all? Any advice or guidance would be much appreciated!
Thank you!