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Re: OBSERVATION VISITSFrom: D. Ashley Hill, MD (dahmd@cfl.rr.com)Wed Aug 13 21:18:05 2003
At Wed, 13 Aug 2003, Anna Meenan, MD wrote: > >OK, here is how I would look at this, if it occurred at my hospital, >which it doesn't. If coded as an outpt. visit, this would code out to >be a 99213, or 0.67 RVU's (you can't code it based on time spent at >bedside if it's an outpt. visit, since you didn't spend >50% of the >visit doing counseling and coordination of care). If coded as an >observation visit, it would code out as a 99218, or 1.28 RVU's. snip. Agreed. However, if I were an HMO director I would not pay for an observation visit for the majority of triage patients. Rather, I would allow an E/M visit (such as your 99213 example), since, as the original poster suggests, these are not really complicated patients who, other than per hospital protocol, would otherwise not be "admitted" for observational status. To the original poster, are you getting paid for observation codes for these patients? I don't think we would in our area. Thanks, Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida
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