" When a patient is admitted to the hospital from another site of service (eg, hospital emergency dept, etc.), all E/M services provided by that physician in conjunction with that admission are considered part of the initial hospital care when performed on the same date as the admission. The inpatient level of service reported by the admitting physician should include the services provided in other sites of service, as well as in the inpatient setting."
If the same doctor that admitted also saw the patient in the ED, then you only bill the initial hospital care code (with modifier AI) - you adjust the level to accomodate for the work done in the ED. If one physician saw the patient in the ED, and a different physician admitted the patient, each doctor bills for the work that they did independently. Hope that helps!
- 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