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Bill outpatient or inpatient?

  1. #1
    Default Bill outpatient or inpatient?
    Medical Coding Books
    Patient presents to the Ambulatory Care unit. The cardiologist performs a heart cath and makes the decision the patient needs to be admitted, and that the cardiothoracic surgeon needs to see the patient in consultation to determine if the patient is a surgical candidate. The cardiothoracic surgeon sees the patient in the ambulatory care unit as the patient is waiting for an inpatient bed; however, the cardiologist possibly already hand wrote the orders for the admission. Would this consultation done by the cardiothoracic surgeons be considered an inpatient consultation or an outpatient consultation? Example: Cardiology writes admit orders at 10 a.m., heart surgeon sees patient at 10:30 a.m., patient sent to inpatient bed at 1 p.m.

  2. #2
    Default hmm...
    my initial thought is inpatient....

    however, I would check with the hospital and see when they changed the status from outpatient to inpatient and go by what they say.

  3. #3
    NCF Gainesville
    It should be based on when the order was written; however, I often find errors in the medical suggestion is to make a contact in that department that can help you when you need to have the IP status changed so that it matches what is actually done.

    Have a great day!
    Jeni Smith, CPC, CPMA

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