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Out Patient/In Patient Billing

  1. #1
    Cool Out Patient/In Patient Billing
    Medical Coding Books
    I work for a group of Hospitalist. The patient doctor in the clinic sends him to the hospital to be admitted. The out patient doctor types up an admitance H&P but does not go to the hospital, and charges for an initial hospital visit. The Hospitalist gets the patient to admit. The Hospital does another H&P, order labs and all other necessary items for an admitance. My Question is the out patient Dr is an Internal Med Doc and the Hospitalis is also under Internal Medicine. Can we both bill? If the outpatient doctor bills an outpatient visit and the Hospitalist bills for the initial hospital visit. Both doctors are in separate groups.

    Thanks
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  2. #2
    Location
    Evansville Indiana
    Posts
    451
    Default inpatient/outpatient
    If the internal physician is not seeing the patient in the hospital, he cannot charge the inpatient hospital visit, he would charge an office visit and the hospitalist would be the one to charge the initial hospital charge.

  3. #3
    Default Thanks
    so even though they are both Internal Medicine doctors they can still both bill? I guess they are two differenct specialties, regular internal med and the other hospitalist.

    Thanks for the help,
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  4. #4
    Location
    Evansville Indiana
    Posts
    451
    Default inpatient
    As long as they are not in the same practice, the internal med Dr. would bill an office visit and the hospitalist would bill the initial inpatient code. However you had said that the internal med Dr. was billing the initial inpatient code, which he cannot because he is not seeing the patient in the hospital.

  5. #5
    Default Thanks
    Thank you all for your help, this is what I needed to know.
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

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