Revenue Cycle

Inpatient-only procedures and the three-day rule

Recovery Auditor Report, February 10, 2011

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.

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