Results 1 to 6 of 6

patient seen in E.R. on Aug. 10th and admittied on Aug 11th

  1. #1
    Default patient seen in E.R. on Aug. 10th and admittied on Aug 11th
    Medical Coding Books
    I have a Dr. Who was called to see a pt. in the E.R. late Aug. 10th and did and h&p and then found out pt. wasn't admitted until Aug. 11th. What are the guidelines for dos to code for? If the h&p is billed with admit date of the 11th and the documentation states the 10th there will be issues with admit date.

    Also, If Dr. sees patient on the 10th and does h&p and requests a special bed and pt. isn't admitted until the 11 which dos should be coded?

    Any help or guidelines would be appreciated.

  2. #2
    Default
    The admit would be coded based on the documentation. It doesn't matter if the hospital didn't have a bed on that calendar date.

    The same thing is true for the reverse, if the patient is in a bed on the 10th but the H&P isn't done until the 11th, the date the documentation supports is the date you bill.

    Laura, CPC, CEMC

  3. #3
    Default
    How would you get this processed by insurance with an h and p date of the 10th and an admit date of the 11th then? I don't understand.

  4. #4
    Default
    This is old but still valid and the exact situation you are dealing with. The following was on the bottom of page 2 on the link.

    http://www.wpsmedicare.com/part_b/pu...s/1002comm.pdf

    Q6. I admitted a patient to a hospital in the late evening on a Tuesday, but I did not actually see the
    patient until Wednesday morning. What is the date of service for the initial hospital visit (CPT
    99221-99223)?
    A6. If you performed the service on Wednesday morning, you should bill for it as a Wednesday date of
    service


    Hope this helps,

    Laura, CPC, CEMC

  5. #5
    Default
    Thanks

  6. #6
    Default
    THANKS-any ther suggestions, if Dr. sees pt late on day 1 and admits on day 2?

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.