So both these physicians have the same specialty and are in the same practice?
Your scenario is a little hazy to me, so I'm making some assumptions. Forgive me if I have it wrong.
Day #1 ... patient seen in office by MD #1 then admited to hospital by MD #2. You would code ONLY the initial hospital visit (or initial observation), using BOTH sets of documentation to arrive at the appropriate level. I am ASSUMING that BOTH physicians actually saw the patient in person. You should have a policy in place in your practice that tells you who gets the credit (here it would be the person who saw the patient first).
Day # 2 ... code for the documented subsequent hospital visit (or established patient office visit if patient is in observation status) - OR - discharge day management is patient is being sent home.
Hope that helps.
F Tessa Bartels, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join