Reply with quote #1
Patient gets admitted in the morning under Observation status. You do H&P on day 1. Next day (day 2) patient gets changed to inpatient as meets criteria.
How do you bill initial H&P - Observation or Inpatient? Do you need to do another H&P if changed from Observation to Inpatient? This is a common scenario - where patient gets changed from Observation to Inpatient. How are practioners billing for this for Medicare v/s other insurances? Another question- Pt Observation for 2 days and 3rd day changed to inpatient? Do you bill H&P (day 1) and Progress note (day 2) as Observation and Day 3 as Inpatient progress note or do you bill Inpatient from day 1 as patient changed to inpatient. Do Billers hold Billing to see if patient changes from Observation to Inpatient before submitting billing? Every practioner has to go through this scenario - will appreciate their input and experience. Thanks.
Reply with quote #2
Initial H&P has to be observation codes,sebsequent day can coded as inpatient,no need of H&P for inpatient,upto discharge inpatient series will come.
Reply with quote #3
Initial H&P can be observation codes(day1),subsequent days can coded in inpatient series (99231,99232,99233),no separate H&P required for inpatient.upto discharge inpatient series will be used