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Followup visit

  1. #1
    Default Followup visit
    Medical Coding Books
    How many days from the discharge date can the physician bill for the post hospital visit?
    All suggestions are appreciated

  2. #2
    Location
    Kansas City, MO
    Posts
    431
    Default
    Next day if applicable. The only reason he wouldn't be able to bill is if that doctor had performed a surgery with a global period.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Default
    Hi Linda thanks for responding...Wow I thought we would have more time than that.


    We are opening a discharge clinic and are trying to setup some protocals for setting the appointments.

  4. #4
    Default
    If your clinic is owned by the facility I would check with your local carriers. We have to adhere to the 72 hour rule and its been recently clarified (Noridian here) that it doesnt have to be the same ICD9 that it can be a related condition/diagnosis and will be denied within that time period.....of course who are we to say what's related and what's not?
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  5. #5
    Default
    Thanks Missy for responding...I will check with them.

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