Health Information Management

Pay-per-view: Correctly count observation time for outpatients

APCs Insider, July 22, 2011

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Counting time for observation isn't always straightforward under OPPS. Coders and billers need to consider physician documentation, other procedures performed during observation, condition code 44, and the three-day payment window when deciding how many observation hours to bill.

In some cases, CMS will provide additional payment for ¬observation related to visit services or package it into the payment for other services, such as surgery.

Continue reading “Correctly count observation time for outpatients” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the August issue.

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