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Nonhospital patient or outpatient?

Daryl Posted Mon 19th of September, 2011 13:11:50 PM

Pathology services that are rendered by a hospital based group from hospital(ABC) for hospital inpatients or outpatients from hospital (XYZ). The hospitals are owned and operated by the same entity. These patient's are not considered nonhospital patients, but in or outpatients. Correct?

SuperCoder Answered Mon 19th of September, 2011 14:43:40 PM

If pathology services is rendered by the hospital ABC (for the patient of hospital XYZ), then both inpatient and outpatient from hospital XYZ will be considered as non-hospital patient for hospital ABC. Hospital ABC can add modifier 90 to their lab services to justify that patient is from outside hopital.

Regardless the owner, hospital and non hospital criteria for a particular patient totally depend upon hospital group number.

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