Question for readers: Seeking advice regarding a revenue cycle issue
Patient Financial Services Weekly Advisor, August 22, 2008
Below is a question from another reader:
We have run into a situation with some of our Outpatient accounts that were converted to Inpatient due to complications: per our Medicare reviewer, we should have billed two accounts, not one.
Example: A patient comes in and has a Lap. Chole for cholecystitis. He stays overnight either as Extended Recovery or Observation. The next day, he is admitted as Inpatient due to an ileus. We are being told that the diagnosis of the ileus should have been done as a new account. Our B.O. can split one account into two claims, but in Medical Records, the Abstracting side cannot enter both the APC and DRG on one account.
Are others facing this issue, and if so, how is it being handled?
If you have a response to this question, please email it to jlymorris@hcpro.com. Thank you!
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