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Practice Management Alert

You Be the Expert:

Deciphering Observation Denials

Question: We recently submitted a 99236 code for an observation service our physician provided for an established Medicare patient. The patient was in observation from 9 a.m. until 7 p.m. on a Friday. I figured the claim was overcoded, but when we called our Medicare provider, I learned that it was denied for insufficient documentation. Are there documentation requirements for Medicare [...]