You have a very valid point. But if you re-read my earlier post ... our hospital changes the status of the ENTIRE visit to inpatient once the patient has been admitted.
So in the case of Mary Jane who was admitted to observation status on Sept 1, stayed in that status on Sept 2, was transferred to inpatient status on Sept 3, Stayed inpatient on Sept 4, and discharged Sept 5 ... The hospital we are affiliated with will change the status of Mary Jane's entire stay to inpatient, effective with Sept 1 (the first date she presented for service).
I believe the hospital does not code their services until discharge; but don't hold me to that since I work for the doctors, not the hospital.
So, our physician charges DO match the hospital's. That's why we wait to code until discharge, or at least 7 days of inpatient stay.
F Tessa Bartels, CPC, CPC-E/M
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