AAPC - Back to school
Results 1 to 2 of 2

Thread: Inpatient Fee Abstraction

  1. #1

    Lightbulb Inpatient Fee Abstraction

    AAPC: Back to School
    I am looking for a large multi-specialty physician group that does inpatient concurrent physician coding. Our physician group would like to have coders review charts on the floor in order to have better patient capture and timely billing. We currently do retrospective coding. If your group does this type of coding would it be possible to contact you to discuss your workflow. I am looking for ideas.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Inpatient abstraction

    First, I'm talking only about abstracting PROFESSIONAL charges.

    Our team of inpatient abstractors is divided into two areas.

    One part of the team reviews every page of every chart of every discharged patient. This is typically done within 48 hours of discharge (usually 24 hours, except on weekends or holidays).

    Another is in charge of any long-term inpatients. Patients who have been inpatient for 1 week go on that abstractor's "list." The abstractor covers the entire hospital going through the charts of all the long-term patients on her list. She marks the "last" page coded (usually a special color highlighter "dot" in the lower left corner of the page) so she knows where she left off when she comes back to that chart - OR - the post-discharge abstractors know where she left off.

    Some physicians also keep a log of their visits, so that staff can reconcile against claims filed about a month after the visit date. If any were missed we can contact the abstractors with the relevant documentation and get the charge picked up. (NOTE: Not every physician is diligent about keeping the log. Some do it in a Palm Pilot or similar device; some use an actual paper notebook! One MD I know just collects the patient labels from the HUC's desk and makes a note of date and type of service and hands his poor assistant this pile of labels!)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 04-01-2010 at 12:30 PM.

Similar Threads

  1. Er professional fee vs inpatient
    By josiew3 in forum E/M
    Replies: 3
    Last Post: 07-15-2015, 08:34 AM
  2. E/M Abstraction Hourly Average
    By ndlemons in forum E/M
    Replies: 0
    Last Post: 10-20-2014, 07:58 AM
  3. Director, Professional Abstraction and Compliance
    By Pam Brooks in forum Employment General Discussion
    Replies: 0
    Last Post: 04-03-2013, 04:28 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.