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Hospitalist E&M discharge date question Box 18 of 1500 form

Kelly Posted Thu 13th of November, 2014 18:42:37 PM

We want to change the way and frequency we are billing hospitalist E&M services. We would like to start billing daily instead of waiting for the patient to be discharged. What I am concerned with is if I bill daily all of the charges that our several hospitalist do and the patient isn't discharged yet...what dates do I list on the claim form in Box 18?

For example if I need to bill a '99223', with an 'AI' modifier for an admission on date of service 10/01/14, what do I list on the claim if the patient hasn't really been discharged yet and is still in the hospital? Do I list 10/01/14 admission to 10/01/14 discharge? I am not sure that it really matters, but I want to make sure that this is compliant if we choose to do things at this frequency.

SuperCoder Answered Fri 14th of November, 2014 09:01:47 AM

Thanks for your question. If you are billing prior to the patient's discharge date, you can list the date of service in box 18. You can also list the date of admission to the date of service if the admission date is different from the date of service you are billing. Hope this helps.

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