discharges

michele.fecho@readinghealth.orgmichele.fecho@readinghealth.org
in Part B Archive
MD documents:
My staff & I spent 40 minutes I the discharge process including time speaking with and examining the patient, arranging discharge & reconciling meds & preparing DC paperwork.

We thought total time on discharge had to be provider time only. MD argued that it is staff time but I can't find anything anywhere to support that.

(The total time might include RN time.)

What do you think?

Comments

  • allison.hiott@altegrahealth.comallison.hiott@altegrahealth.com
    edited May 2017
    All you need to know is what is on page 8 of the CPT book. Do you have one to look at? If not I can copy it and send to you.

    Allison K. Hiott, CCS, CPC, CPC-I
    Remote Professional Coding Specialist
    Reimbursement & Advisory Services Division
    Greenville, SC (Eastern Standard Time Zone)

    Altegra Health | The Promenade at Howard Hughes Center | 6601 Center Drive | Suite 300 | Los Angeles, CA 90045
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  • michele.fecho@readinghealth.orgmichele.fecho@readinghealth.org
    edited May 2017
    I am looking at Hospital Discharge Services in CPT on pg 18. I only see time spent by physician but MD insists that he saw otherwise from CMS.

  • janrpcs@aol.comjanrpcs@aol.com
    edited June 2017

    Tell him to produce the evidence! Staff in the hospital is not
    paid/employed by the physician so that is not his liability to bill for.



  • yvette.hofmeister@osumc.eduyvette.hofmeister@osumc.edu
    edited May 2017
    Inpt codes include floor time of the MD.

    Thank you
    Yvette Hofmeister, CPC
    614-685-2915 new #


  • edwade10@gmail.comedwade10@gmail.com
    edited June 2017


    Try this site:
    http://www.wpsmedicare.com/j8macpartb/resources/provider_types/evalandmngmnt.shtml

    It is from WPS but has all the info from CMS.

  • yvette.hofmeister@osumc.eduyvette.hofmeister@osumc.edu
    edited May 2017
    https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c12.pdf

    see prolonged care section That might help.

    Thank you
    Yvette Hofmeister, CPC
    614-685-2915 new #

  • janrpcs@aol.comjanrpcs@aol.com
    edited June 2017


    Usually there is an order written but for billing purposes you only need a
    documented face to face visit.


  • mlewis@scrogginsgrear.commlewis@scrogginsgrear.com
    edited June 2017
    Yes, and you need a discharge summary.

    Maxine Lewis, CMM, CPC, CPC-I, CPMA, CCS-P


    Main: 513-771-7070
    Direct: 513-672-4363

    Fax: 513-326-7640

    200 Northland Blvd

    Cincinnati, OH 45246

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    www.scrogginsgrear.com



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