Inpatient-only procedures and the three-day rule
Recovery Auditor Report, February 10, 2011
Want to receive articles like this one in your inbox? Subscribe to Recovery Auditor Report!
CMS has clarified that outpatient procedures that meet preadmission packaging requirements and occur on the day of admission or the three days before admission are to be coded on the inpatient claim with ICD-9 procedure codes. But what about inpatient-only procedures provided on an outpatient basis (i.e., before the inpatient order is written)?
Editor’s note: Kimberly Hoy, Esq., director of Medicare and compliance for HCPro, Inc., is the author of this week’s note from the instructor.
Continue reading Kimberly's note on the MedicareMentor Blog.
Want to receive articles like this one in your inbox? Subscribe to Recovery Auditor Report!
Related Products
-
2010 Observation Services Track:
On-demand audio recordings of the Observation Services track of HCPro Revenue Cycle Institute's popular Medicare Compliance...
-
Clinical Documentation Improvement
Hospitals are undoubtedly aware of how a quality clinical documentation improvement program can benefit their facility, but...
-
Medicare Compliance Forum: Orlando, FL
Attend the 2012 Medicare Compliance Forum to reduce your organization’s risk and exposure from government auditors...
-
Outpatient, Observation, or Inpatient?
Attend the half-day seminar, Outpatient, Observation or Inpatient? Walking the Tightrope of Regulatory Guidance, September...
-
OPPS and IPPS Reimbursement Fundamentals
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on September 30 in Orlando. You'll learn to understand...
Most Popular
- Articles
-
- HIPAA Q&A: Answering service messages
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Coding for dry skin due to cold weather
- Q/A: Volume requirement for reporting hydration services
- Are your workforce members texting PHI?
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Privacy, security concerns high in HIEs
- Catch up on what's new with injections and infusions
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- HIPAA Q&A: Answering service messages
- Q&A: Coding for sepsis when other conditions are present
- HIPAA Q&A: TPO disclosures to a business associate
- Are your workforce members texting PHI?
- Q&A: Coding for dry skin due to cold weather
- What does case-mix index mean to you?
- Don't let these sentinel events trigger falsely
- Searched