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Inpatient Orders
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Re: Inpatient Orders
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SOMDAY
Re: Inpatient Orders
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Posts
: 331
Jun 3 03 8:10 PM
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My Recent Posts
Case management should never write request to make pt an I/P unless they have the written order from the physician or their facilities policies and procedures are in place to empower them to do so. If they are writing the request solely on the policy and procedure set in place then I believe it is a billing issue. Did patient actually meet criteria per Medicare guidelines or because they were here longer than 24 hrs? The electronic billing software and clearinghouses that manage the program should have edits in place that are set up according to the payer assigned to a claim. Many times I have had our RN ask me what on earth would compel me to question her decision for I/P status.
And yes Virginia there is a Santa Claus and the big DRG's come about as often as he and the Easter Bunny!!
As for the CMS manual, I spoke with our local FI who could not give me specifics but directed me to the manual and told me to look through the observation section. I couldn't find it either. I asked another biller who has been billing for almost 20 years and she said it has been a set in stone rule for a very long time. She went back through the ancient HCFA scrolls and writings from decades past and could not find the coveted document anywhere!!
Anyway, have a great day and sorry I could not be more help!
Amy
<< Previous Topic
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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Hospital Inpatient and Outpatient Coding
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Inpatient Orders
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