Conduct an audit of observation nursing services
Health Care Auditing Strategies, July 1, 2005
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Verify correct coding and charging of bedside procedures
Hospitals often fail to code or capture the charges for nursing services performed at the bedside of observation patients. If your facility doesn't report them, your organization may lose revenue it deserves, says Valerie Rinkle, MPA, revenue cycle director for Asante Health System in Medford, OR.
Verify that your facility codes and bills the following services performed at the bedside separately from observation hours, according to the outpatient prospective payment system final rule published in the November 1, 2002, Federal Register (p. 66794):
Your facility can code and bill these procedures separately because they're often performed by the attending physician with a nurse assisting or by a nurse with a physician order at the patient's bedside. "They don't necessarily involve an ancillary department bringing their staff or equipment up to the patient, or moving their patient down into their department," Rinkle says.
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