Results 1 to 2 of 2

2 E&M same day

  1. #1
    Default 2 E&M same day
    Medical Coding Books
    Pt was seen in Office and Dr sent pt to ED based on pt's vitals. ED dr admitted the patient. Can our office bill for an E&M as well, providng we meet documentation requirements or no since the patient was admitted the same day?

    Many thanks!

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by rlcohen76 View Post
    Pt was seen in Office and Dr sent pt to ED based on pt's vitals. ED dr admitted the patient. Can our office bill for an E&M as well, providng we meet documentation requirements or no since the patient was admitted the same day?

    Many thanks!
    Per Medicare Chpt 12:

    When the patient is admitted to the hospital via another site of service (e.g., hospital emergency department, physician's office, nursing facility), all services provided by the physician in conjunction with that admission are considered part of the initial hospital care when performed on the same date as the admission.

    In other words, if a member of your group (within the same specialty) did not actually admit the patient, your office visit is billable; provided you meet the document requirements (as you already stated). If the provider or a member of your group (within the same specialty) had admitted the patient, the office visit would be "rolled up" into the admission.

Similar Threads

  1. ANOSCOPY & E&M svc done same day-CAN ANYONE
    By PAULA FEDELE in forum Billing/Reimbursement
    Replies: 7
    Last Post: 03-16-2015, 01:15 PM
  2. Post T&A Hemorrhage Same Day as T&A
    By Anjelique in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 06-06-2012, 09:41 PM
  3. Replies: 0
    Last Post: 11-22-2011, 11:23 AM
  4. Replies: 3
    Last Post: 06-26-2009, 06:54 AM
  5. Admission E&M & Procedure same day
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 04-22-2008, 12:10 PM

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.