-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: OB: Coding From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Oct 27 21:31:56 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: OB: Coding" Previous message: Anna Meenan, MD: "Re: OB: Coding" In reply to: Anna Meenan, MD: "Re: OB: Coding" Anna: Short of actually writing down time spent (which I have seen done, and sometimes dictate into notes), the length of time spent is based on the actual best estimate by the CNM. I fully understand what you've said, and am confortable coding as I suggested. Your insight is welcome. Garry At Wed, 27 Oct 2004, Anna Meenan, MD wrote: > >You can code Admit, discharge, and Prolonged attendance. > >The admit cannot be at the highest level unless counseling or >coordination of care at the time of admission took up more than 50% of a >70-minute encounter. Otherwise, you don't have management options that >put this in the highest-risk category (threat to life doesn't count, as >it was not present on admission). > >Discharge could be a 39 if the whole process involved more than 30 >minutes' worth of your time. If she just up and walked out and you >didn't spend more than 30 minutes counseling her not to or trying to >find her, it's probably a 38. > >Prolonged attendance can be charged if the CNM documented her >face-to-face time with the patient. Usually gets denied but can be >appealed. They usually want copies of progress notes documenting time >spent with patient (as an FP, I do this sort of thing a lot, because if >we end up going to section, it's the only way I get paid for my work) > >There is a code for standby, but it never gets paid. > >-- > Anna Meenan, MD > >At Wed, 27 Oct 2004, Garry E. Siegel, M.D. wrote: >> >>So, back to the "difficult" CNM patient. >> >>In essence, this patient came to L and D in early labor at 0800, and was >>there overnight. At 0300 the next day, SROM occured. At 1700, >>basically she snuck out, not to return. >> >>She was there around 32 hours with many CNM onsite visits. >> >>How in the heck do I code this one? >> >>I'm looking, but anyone with advise is welcome--on list or privately. >> >>Garry >> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: OB: Coding" Previous message: Anna Meenan, MD: "Re: OB: Coding" In reply to: Anna Meenan, MD: "Re: OB: Coding"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:46:47 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.