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Q:
If the physicians order was not clear as to inpatient admission vs observation status, what kind of claim should the hospital submit after discharge?
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claim
vs
order
physicians
status
hospital
admission
clear
observation
inpatient
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The hospital cannot bill outpatient observation without a clear order. If the order is not clear, the hospital must bill the stay as an inpatient admission.
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/Review/Tools/FAQs_URWorkshop.htm
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If the physicians order was not clear as to inpatient admission vs observation status, what kind of claim should the hospital submit after discharge?
Related Questions
- If the QIO reviews a case billed inpatient and determines the stay involves a billing error (i.e., the ...
- There are several very specific CPT codes for laminectomies. Depending on the exact procedure performed, the ...
- Your physician determines whether you will be categorized as observation or inpatient. Insurance plans pay ...
- It is not appropriate to bill observation from the inpatient hospital admit date using condition code 44. ...
- If a surgical procedure is done, the observation stay will be bundled to the surgery.