AAPC - Back to school
Results 1 to 5 of 5

Thread: billing a non-patient

  1. #1

    Default billing a non-patient

    AAPC: Back to School
    I work for a Hospitalist group. The other day a NON patient went to the cafeteria for lunch and coded. My doc responded. Can she bill for her critical care or is this considered like a good Samaritan since it was not a patient to the hospital, just a visitor? Any help would be appreciated!

  2. #2
    Join Date
    Apr 2007
    Metro Omaha Coders Association, MOCA


    Was the patient subsequently admitted to that facility? If your hospitalist provided a face-to-face service to the patient subsequent to the code, he or she should be able to bill for an inpt. service. Remember, all work provided on the date that a patient is admitted is rolled up into the admit service. If the patient did not survive to be admitted, I think then the service provided is not billable.
    Julie A. Leu, CPC, CPMA, CPC-I
    2009-2011 NAB Member, Region 7

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Outpatient

    If the patient "recovered" but was not admitted, you would be using POS 22 (Hospital outpatient).

    Bear in mind that time spent in CPR cannot also be used to qualify for 30 minutes or more of critical care.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Join Date
    Apr 2007


    Once treatment is rendered to a person, regardless of why, they are now a patient.

    This provider was at work and provided a service, this is not a good samaritan act in my opinion at all but a medical provider doing their job. It is most certainly billable.

    Laura, CPC, CPMA, CEMC

  5. #5


    thanks to you all for your help!!!

Similar Threads

  1. Replies: 7
    Last Post: 05-19-2016, 08:23 PM
  2. New Patient Billing
    By Salemcoder in forum E/M
    Replies: 1
    Last Post: 01-11-2012, 01:01 PM
  3. Billing a new patient vs established patient
    By kcaskey03 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 11-15-2011, 01:00 PM
  4. Out Patient/In Patient Billing
    By randiroyder in forum Billing/Reimbursement
    Replies: 4
    Last Post: 03-15-2010, 07:56 AM
  5. Billing for an old new patient.
    By jenburton1981 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-01-2009, 07:34 AM

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?


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.