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Observation and Inpatient Admit Dates

Patricia Posted Wed 05th of January, 2011 23:38:53 PM

This question pertains to the hospital setting. When a patient is initially admitted to observation status with assignment of place of service 22 then a couple of days later the same patient is rolled over to Inpatient status with assignment of place of service 21, does the admit date remain the same as the original observation admit date or does the admit date change to the inpatient status date?

SuperCoder Answered Thu 06th of January, 2011 01:02:11 AM

If it is determined that an observation patient is in need of inpatient care, the patient’s status can be changed to inpatient at any time. This change requires a physician’s order, which should be written at the time the decision is made. The hospital cannot bill for an inpatient admission without a physician order. The inpatient admit date is the date that the inpatient admission order is written, and the medical necessity for the inpatient admission should be documented on that date.

SuperCoder Answered Sat 08th of January, 2011 15:40:05 PM

if the pt is in obsv then gets admitted you would change pos to 21
the hosp is going to chnge there pos to 21 and if you start sending claims with pos 22 then change to 21 you will have to start sending medical records or they will deny claims i usally follow suit to what the hospital has coded

SuperCoder Answered Sat 08th of January, 2011 20:06:29 PM

Exactly. I agree with you Janice.

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