Cindy Posted Fri 13th of November, 2015 12:51:36 PM
My surgeon had a patient who was admitted by him into rehab on 10/27 and then discharged from rehab by him on 10/31, they were discharged from rehab to go to acute care so then he did the admit on 10/31 and also and we had a critical care call on 10/31.. so all in one day the doctor wants us to bill a discharge, an admit, and a critical care. Based on my experience we could only bill the admit to acute and critical care. Is this correct? Wouldn't the discharge from rehab be included in the acute admit? Or could you bill because of difference places of service? Thank you
SuperCoder Answered Mon 16th of November, 2015 06:52:34 AM
Thanks for your query.
You are right, we will code only Critical Care codes only if the patient was discharged, then admitted and then had critical care in the same facility.
If patient was discharged from different facility, then use discharged codes for first facility and then Critical Care codes for second facility.
Cindy Posted Mon 16th of November, 2015 07:59:52 AM
I'm unclear as to your answer. The patient was discharged from rehab on 10/31/2015, admitted to acute care and had critical care. So basically had 3 different services on one day. One is in the place of service rehab. The second is in place of service acute inpatient hospital. Can we bill all three services for the same date of service? Discharge from rehab, admit as inpatient to acute and critical care( inpatient).
SuperCoder Answered Tue 17th of November, 2015 05:42:06 AM
I meant that rehabilitation center and acute care facility are at different hospitals, then we will code both discharge visit for first hospital and critical care for the second hospital stay and if both (rehab and acute care with critical care) at the same hospital then we will code only critical care service only.