Ob-gyn practices are steeling themselves for a 25% increase in deliveries from mid-June to mid July, reports The Houston Chronicle. Why? You do the math. It’s nine months after weeks-long power outages left people with nothing to do but make new pediatric patients.
So, let’s all take a newborn coding challenge to show our solidarity with the coders and billers left in Ike’s path.
Question: Sometimes our pediatricians tell a new mom she can take her baby home the next day provided the newborn continues to stool and feed normally, and to have normal vital signs. The patient is then discharged from the hospital the next day without the physician seeing the patient.
Our hospital compliance plan calls for using CMS guidelines across the board. Should I charge the discharge on the hospital discharge day or on the last day the physician saw the patient?
Answer: You should report 99238 (Hospital discharge day management; 30 minutes or less) or 99239 (… more than 30 minutes) on the day that the physician performed the last face-to-face service with the patient.
“Discharge day management is a face-to-face E/M service between the attending physician and the patient,” according to the Medicare Claims Processing ManualChapter 12, Section 184.108.40.206. “The E/M discharge day management visit shall be reported for the date of the actual visit by the physician or qualified nonphysician practitioner even if the patient is discharged from the facility on a different calendar date.”
Example: A pediatrician evaluates a two-day old normal newborn on rounds on Sunday. The physician gives the mother take-home instructions, completes discharge paperwork, and...
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