E/M services are billed by DOS. Once you cross midnight a new E/M service begins.
Everything, per usual, depends on the documentation.
I'm wondering if it is medically necessary to remain at the patient's bedside from 9:00p to 1:30 am the next day ... could this be critical care?
I just can't imagine the medical necessity of this kind of prolonged service ... especially in an inpatient setting ... unless the patient is critically ill.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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