We currently are not changing the order, we are just billing as the insurance company ask's us to. We are leaving the order as written and the account as the order is written but they are change charges to reflect observation care and billing an outpatient claim. We have started asking for letters reflecting this to be scanned into the record.
So in Kimberle's case of not changing the order, are you then billing for observation hours based on the time the admission order was written? I have the same question for Ilene as well. We have always just followed the Medicare rules on this and requested a peer to peer to justify the admission which in most cases works but I am interested in hearing how others are handling this. I would also love to see a facility policy on this if anyone has one.
Misty Zink, AAS, RHIT
COC, CPC, CPCO