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New at inpatient OB coding

  1. #1
    Default New at inpatient OB coding
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    I saw it in another thread, but it was only mentioned by one person, so I wanted to get some more feedback.

    If our outpatient clinic has 4 providers that do inpatient OB visits and they see a baby in the hospital, are they ever billed as a new patient once they come to our office for their well visits or hospital follow-up visit for weight checks or are they billed as established patients after the first hopital visit regardless of which provider they see? No pediatricians, all family practice providers.

    (I understand that they could see a specialty provider and be billed as new.)
    Heidi Thompson, CPC

  2. Default
    As the 4 providers are part of the same clinic, any subsequent visits would be coded as 'established pt' regardless of which provider saw the pt initially.

  3. #3
    I agree. Is there any documentation to provide to my medical director showing that scenario with the billing guidelines?
    Heidi Thompson, CPC

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