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Re: OBSERVATION VISITS From: Anna Meenan, MD (annam@uic.edu) Wed Aug 13 21:28:53 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: OBSERVATION VISITS" Previous message: J. Hellriegel: "Re: Metformin and pregnancy" In reply to: D. Ashley Hill, MD: "Re: OBSERVATION VISITS" Next in thread: Garry E. Siegel, M.D.: "Re: OBSERVATION VISITS" If you're not getting PAID for observation visits, and the hospital is making you DO them, you will have to argue that with the powers-that-be at the hospital. -- Anna Meenan, MD At Wed, 13 Aug 2003, D. Ashley Hill, MD wrote: > >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 > Next message: Garry E. Siegel, M.D.: "Re: OBSERVATION VISITS" Previous message: J. Hellriegel: "Re: Metformin and pregnancy" In reply to: D. Ashley Hill, MD: "Re: OBSERVATION VISITS" Next in thread: Garry E. Siegel, M.D.: "Re: OBSERVATION VISITS"

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