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Stuck

  1. #1
    Default Stuck
    Exam Training Packages
    I'm having a tough time with this one:

    We have a patient that we saw one day on 7/18/2009, he was then transferred to the cardiology service which is in the same hospital.

    It was originally billed as an admit.


    I understand -- transfers within the same facility do not support billing of a new admit -- so how would I bill this one? Would it be billed as a subsequent?

  2. #2
    Default
    So your provider didn't admit the patient?

    Was it a consult? If not the only option you would have would be subsequent care, unless they did critical care.

    Laura, CPC, CEMC

  3. #3
    Default stuck
    Quote Originally Posted by katmryn78 View Post
    So your provider didn't admit the patient?

    Was it a consult? If not the only option you would have would be subsequent care, unless they did critical care.

    Laura, CPC, CEMC
    Thanks Laura,

    No cc was done.

  4. #4
    Default
    I agree with Laura. I would like to think physicians know an admit from an admit and "think" they know a consult from a consult. They tend to steer clear of subsequents. If they marked admit but didn't admit, I would more likely think subsequent because I figure they would mark consult. Either way, it points you in the right direction.

    But what IF -- they saw them "outpatient" and then cardiology admitted?

    That might be where the confusion lies.

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