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Because your patients come first. Coding Jeopardy 100 300 100 300 100 300 100 200 300 400 500 OutpatientObservationInpatientER / CC 200 Final Jeopardy.

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Presentation on theme: "Because your patients come first. Coding Jeopardy 100 300 100 300 100 300 100 200 300 400 500 OutpatientObservationInpatientER / CC 200 Final Jeopardy."— Presentation transcript:

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2 Because your patients come first. Coding Jeopardy OutpatientObservationInpatientER / CC 200 Final Jeopardy 200

3 Because your patients come first. 100

4 Because your patients come first. Of the history, exam and decision making - this is the driving force behind code selection Back to the Jeopardy Board Outpatient 100 1

5 Because your patients come first. 100

6 Because your patients come first. Observation 100 This must be in the patients record anytime a provider wants to bill for observation care Back to the Jeopardy Board 6

7 Because your patients come first. 100

8 Because your patients come first. Inpatient 100 If the doctor admits a patient in the morning and sees them again for a different problem later the same day you may bill with the following series of code(s) Back to the Jeopardy Board 8

9 Because your patients come first. 100

10 Because your patients come first. ER / Critical Care 100 This is the only time a provider can bill a hospital visit and critical care on the same day Back to the Jeopardy Board 15

11 Because your patients come first. 200

12 Because your patients come first. Outpatient 200 In addition to documentation, E&M codes can also be selected by this Back to the Jeopardy Board 2

13 Because your patients come first. 200

14 Because your patients come first. Observation 200 In the event your patient is in observation for more than two calendar days, use these types of E&M codes for day two Back to the Jeopardy Board 6

15 Because your patients come first. 200

16 Because your patients come first. Inpatient 200 The proper way to code when Dr. A (on call doctor) in one group sees Dr. Bs patient on the same day for a different problem - same specialty Back to the Jeopardy Board 8

17 Because your patients come first. 200

18 Because your patients come first. ER / Critical Care 200 The following describes the proper way to code for a physician providing 35 minutes of critical care Back to the Jeopardy Board 14

19 Because your patients come first. 300

20 Because your patients come first. Outpatient 300 This modifier requires you have a separately identifiable note in the patients chart Back to the Jeopardy Board 4

21 Because your patients come first. 300

22 Because your patients come first. Observation 300 In the event a patient is in observation and is admitted later on the same day, Medicare will pay for these series of code(s) Back to the Jeopardy Board 6

23 Because your patients come first. 300

24 Because your patients come first. Inpatient 300 This is the only E&M code you can bill on the same day as a hospital or observation discharge Back to the Jeopardy Board 9

25 Because your patients come first. 300

26 Because your patients come first. ER / Critical Care 300 If a personal physician is asked to consult on their patient in the ER by the ER attending and based on the personal physicians opinion and advice, the patient is admitted by the ER physician, the personal physician would use these series of codes for his consultation service Back to the Jeopardy Board 12

27 Because your patients come first. 400

28 Because your patients come first. Outpatient 400 This is the only time you can bill an office visit and admission on the same day Back to the Jeopardy Board 5

29 Because your patients come first. 400

30 Because your patients come first. Observation 400 This is the series of code(s) you would use to bill for a visit observation on day one and an admission on day two Back to the Jeopardy Board 6

31 Because your patients come first. 400

32 Because your patients come first. Inpatient 400 Back to the Jeopardy Board 14/15 This is the proper series of code(s) to use for a patient who received critical care in the ER and was then admitted later that day by the same physician

33 Because your patients come first. 400

34 Because your patients come first. ER / Critical Care 400 The physician billing for critical care can only count his/her time in two places. 1) at the immediate bedside and 2)__________ Back to the Jeopardy Board 13

35 Because your patients come first. 500

36 Because your patients come first. Outpatient 500 Back to the Jeopardy Board 16 / 17 These codes are used when the provider spends 30 minutes or more over the time allocated for the E&M code selected

37 Because your patients come first. 500

38 Because your patients come first. Observation 500 If a patient is placed in hospital observation and the admitting physician requests a consultation, this series of codes would be selected by the consulting provider. Back to the Jeopardy Board 6

39 Because your patients come first. 500

40 Because your patients come first. Inpatient 500 This is the proper way to code when Dr. A spends 90 minutes of unit/floor time (family counseling) during a subsequent hospital visit when the MDM supports a Back to the Jeopardy Board 17

41 Because your patients come first. 500

42 Because your patients come first. ER / Critical Care 500 This is the proper way to code for a patient in the ER receiving critical care between the hours of 11:30PM to 1:00AM the following day Back to the Jeopardy Board 14

43 Because your patients come first.

44 Final Jeopardy These are the six E&M codes that can be billed with a nursing home admission


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