Medical Coding 1 CH 2-Notes/Hospital Services

10 terms by kim5020 

Create a new folder

Advertisement Upgrade to remove ads

Observation Codes (new or established patients), 3 key components required.

Patient, who does not have an illness severe enough to meet acute inpatient criteria, does not need acute inpatient care but needs hospitalization. Further info about the severity can be obtained to determine if the patient can be treated on an outpatient basis. If patient admitted as outpatient then status updated to inpatient, services provided as outpatient are bundled into the initial inpatient hospital admission code.

Initial observation care codes

Used to designate beginning of observation status in a hospital. Observation admission can only be reported for the 1st day of service. Services performed in sites other than observation area (Dr. office, nursing home, etc.) and precede admission to observation status are included into the Initial Observation Care codes and not coded separately.

If patient is admitted to observation status then is ill enough to be admitted to the hospital, an Initial Hospital Care code not observation code is used to report the service (T/F)

True

Subsequent Hospital Care codes are used to report what information?

Used by physicians to report daily hospital visits while the patient is hospitalized.

Concurrent Care

More than one physician provides service to a patient on the same day for different conditions. Subsequent care codes can be used by several physicians, of different specialties, on the same day.

Attending Physician

Legally responsible for the care and treatment provided to the patient. Usually a provider of primary care.

Request for consultation

A physician asking for advice or an opinion (Requesting Physician)

Consultant

Physician providing advice or consultation (would use consultation codes to report services)

Referral (as defined by 3rd party payers)

Total transfer of care of a patient. The physician accepting the referral would not use consultation codes.

Define consultation

Service provided by a physician whose opinion or advice regarding the management or diagnosis of a specific problem has been requested.

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set