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bill for discharge???

  1. #1
    Question bill for discharge???
    Exam Training Packages
    Need some imput?

    Patient seen in the ER and fracture care was done, can the Dr, bill for a final discharge???
    Ivonne Atanacio CPC,CPB,CPMA,CPC-I

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    the short and sweet answer is NO
    Mary, CPC, CANPC, COSC

  3. Default
    If the patient went home the same day then you will bill the admit/discharge same day code for the service. If the patient stayed overnight and the Dr. discharged him home the next day then he CAN bill for the discharge...if he actually discharged him; however if someone else d/c'd him then he cannot.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Discharge global to fracture care
    Quote Originally Posted by billrapid View Post
    If the patient went home the same day then you will bill the admit/discharge same day code for the service. If the patient stayed overnight and the Dr. discharged him home the next day then he CAN bill for the discharge...if he actually discharged him; however if someone else d/c'd him then he cannot.
    Once you code the fracture care, you are in a 90-day postop global period. Discharge will be covered by the postop global period.

    I would code only the initial E/M with -57 "decision for surgery" modifier as well as the fracture care.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I disagree with billrapid---there was a procedure performed, therefore you can not bill as you indicated in your post.

    I totally agree with Tessa...she is right on the money
    Mary, CPC, CANPC, COSC

  6. #6
    Default
    same here agree with Tessa, once they do surgery they cannot charge for any subsequent hospital visits or discharge unless it is unrelated to the surgery/fracture care.
    Tina Wosmek CPC, COSC

  7. Default
    you can't bill a discharge unless the pt was admitted so if this was just a fx care during post op then nope

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