Results 1 to 4 of 4

Hospitalists billing

  1. #1
    Location
    Daytona Beach, FL
    Posts
    746
    Question Hospitalists billing
    Exam Training Packages
    Hopefully someone can help me. I am new to billing for a Hospitalists group and the doctors are questioning me if they can charge for certain things and I'm not sure how to answer.

    First, one doctor has asked if she can charge for a pronouncement. Apparently the patient was under the care of their primary, but this dr was not available when the patient expired so he asked our hospitalist to pronounce his patient. The doctor wrote a report. Can she bill for this and if so, which codes would I use.

    Next, they are questioning in they can charge for a central line placed along with the hospital visit. Can Hospitialists bill and be paid for procedures they perform along with the E/M?

    Thank you for any assistance in this. I am totally clueless beyond the E/M for this hospital billing thing!

    Jodi Dibble, CPC

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default
    Pronouncement - the physician who pronounces the patient can code the service provided using discharge day management codes (99238-99239 depending on documented time spent).

    Procedures - bedside procedure performed by the physician may be coded. You will need a modifier on the E/M if it is a significant, separately reportable service.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    Daytona Beach, FL
    Posts
    746
    Default
    Thanks Tessa for your help. Just to clarify - the patient was being followed by his own doctor for care but was not available to pronounce his patient and asked our Hospitalist to do so. Can the primary still charge for the discharge or would it be the Hospitalist who does the discharge then? I just want to make sure because I don't know if the primary is planning on doing a discharge too.

    Thanks again for your help.

    Jodi Dibble, CPC

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Discharge
    There are multiples posts on this exact topic here on the forum.

    Only the provider who actually pronounces the patient may code for discharge day management.

Similar Threads

  1. PQRS and Hospitalists
    By Rachel_Nelson in forum Medicare Regulations
    Replies: 0
    Last Post: 12-17-2014, 03:37 PM
  2. Billing E/M for Hospitalists
    By bevneal in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-10-2012, 08:50 AM
  3. Billing for Hospitalists
    By JOgielo in forum Internal Medicine
    Replies: 1
    Last Post: 09-15-2011, 01:13 AM
  4. Hospitalists A/R
    By kwhite2008 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 06-24-2011, 02:11 PM
  5. E/M coding for Hospitalists
    By Pam Ziegenhorn in forum Emergency Department
    Replies: 5
    Last Post: 11-20-2010, 08:45 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?

Login

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.