I have had this same problem with my group of Physicians so I spoke with CMS to see what they would say. I also have it in writing from them. Also, BCBS and others follow the same admission process, which I have documentation from them stating this. This is the rule...
You charge the Initial Hospital Visit the date the physician was physically at the place of service(hospital) seeing the patient. It does not matter if the patient was admitted the day before, you only charge for that initial visit the day the physician was actually there. This is also listed in the CMS internet only manual. If you want, you can email me and I can fax you what I have from them and my own documentation I have found.I can also give you the section of the internet only manual to find this in. I am at home right now and do not have this information here. I hope this helps.
Jennifer C., CPC, CIMC
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