Agilbert3
Networker
Hello all,
I am a new coder and trying to find answers for myself and our billing department.
I understand that for Medicare patients who are rendered services such as x-rays and labs in outpatient setting then admitted inpatient within DRG window, that those services are bundled with inpatient services.
Our question is how do we do that? Do I code those services as a charge to the hospital? Or does the biller abstract the information and do it herself (this is our hospital biller, not our clinic biller asking)?
For patients listed as admit, we have been omitting any E/M codes, but still charging the labs and X-rays to our own clinic. My partner coder and I had been thinking they did this on their end, but they don't seem too sure of the proper way either.
Any advice for me and our billing dept? This is not my area of understanding.
I am a new coder and trying to find answers for myself and our billing department.
I understand that for Medicare patients who are rendered services such as x-rays and labs in outpatient setting then admitted inpatient within DRG window, that those services are bundled with inpatient services.
Our question is how do we do that? Do I code those services as a charge to the hospital? Or does the biller abstract the information and do it herself (this is our hospital biller, not our clinic biller asking)?
For patients listed as admit, we have been omitting any E/M codes, but still charging the labs and X-rays to our own clinic. My partner coder and I had been thinking they did this on their end, but they don't seem too sure of the proper way either.
Any advice for me and our billing dept? This is not my area of understanding.