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Thread: From ER to Observation status

  1. #1
    Join Date
    Apr 2007

    Unhappy From ER to Observation status

    AAPC: Back to School

    If a patient is in the ER and they were admitted into Observation...the supervising phycian that oversees the patient can only bill the initial observation code however when it comes to facility billing, is it appropriate for the facility to bill rev code 0450 for the ER bed and also rev code 0762 for the observation bed along with the respective E/M and Observation codes? I'm getting told that some carriers don't bundle their room charges.


  2. #2
    Join Date
    Apr 2007


    Does anyone have experience with Facility billing? Would the facility be able to charge for both the ER bed and the Observation bed or just the observation bed bc that's where the patient ultimately ended up in?

    Thoughts? Help?

  3. #3
    Join Date
    Apr 2007
    Bangor, Maine

    Default ER Facility Fee

    Our hospital is a CAH, so some of our administrative policies are a little different than most hospitals, but we do charge the ER facility fee for our patients that are admitted to OBS. Again, I am not sure if this is the case with most other hospitals, but we do charge for it here. Hope this is a little helpful for you

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