Because your patients come first. Coding Jeopardy 100 300 100 300 100 300 100 200 300 400 500 OutpatientObservationInpatientER / CC 200 Final Jeopardy

Because your patients come first.Because your patients come first.

Coding Jeopardy

100

300

100

300

100

300

100

200

300

400 400 400 400

500 500 500 500

Outpatient Observation Inpatient ER / CC

200200

Final JeopardyFinal Jeopardy

200


100


Of the history, exam and decision making - this is the

driving force behind code selection

Back to the Jeopardy Board


Outpatient 100

1


100


Observation 100

This must be in the patients record

anytime a provider wants to bill for

observation careBack to the

Jeopardy BoardBack to the

Jeopardy Board6


100


Inpatient 100If the doctor admits a patient

in the morning and sees them again for a different

problem later the same day you may bill with the

following series of code(s) Back to the


Jeopardy Board8


100


ER / Critical Care 100

This is the only time a provider can bill a hospital

visit and critical care on the same day


Back to the Jeopardy Board15


200


Outpatient 200

In addition to documentation, E&M codes can also be selected

by thisBack to the


Jeopardy Board2


200


Observation 200

In the event your patient is in observation for more than two calendar days, use these types of E&M

codes for day two Back to the


Jeopardy Board6


200


Inpatient 200The proper way to code when

Dr. A (on call doctor) in one group sees Dr. B’s patient on the same day for a different problem - same specialty




200



The following describes the proper way to code for a physician

providing 35 minutes of critical care




300


Outpatient 300

This modifier requires you have a separately identifiable note in the

patient’s chart




300


Observation 300In the event a patient is in

“observation” and is “admitted” later on the same day, Medicare will pay for these series of

code(s)Back to the


Jeopardy Board6


300


Inpatient 300

This is the only E&M code you can bill on the same day as a hospital

or observation discharge Back to the


Jeopardy Board9


300


ER / Critical Care 300If a personal physician is asked to consult on their patient in the ER by the ER attending and based on the

personal physicians opinion and advice, the patient is admitted by the ER physician, the personal physician would use these series of codes for

his consultation service




400


Outpatient 400

This is the only time you can bill an office visit and admission on the same day




400


Observation 400This is the series of

code(s) you would use to bill for a visit

“observation” on day one and an “admission”

on day twoBack to the


Jeopardy Board6


400


Inpatient 400


Back to the Jeopardy Board14/15

This is the proper series of code(s) to use for a patient who received critical care in the ER and was then admitted later

that day by the same physician


400



The physician billing for critical care can only

count his/her time in two places. 1) at the

immediate bedside and 2)__________ Back to the


Jeopardy Board13


500


Outpatient 500


Back to the Jeopardy Board16 / 17

These codes are used when the provider spends 30

minutes or more over the time allocated for the E&M

code selected


500


Observation 500If a patient is placed in

“hospital observation” and the admitting physician

requests a consultation, this series of codes would be

selected by the consulting provider.




500


Inpatient 500This is the proper way to code when Dr. A spends 90 minutes of unit/floor

time (family counseling) during a subsequent hospital visit when the

MDM supports a 99231




500


ER / Critical Care 500This is the proper way to code

for a patient in the ER receiving critical care

between the hours of 11:30PM to 1:00AM the following day





Final JeopardyFinal JeopardyThese are the six E&M codes that can be billed

with a nursing home admission - 99303These are the six E&M codes that can be billed

with a nursing home admission - 99303

Documents

Because your patients come first. Coding Jeopardy 100 300 100 300 100 300 100 200 300 400 500 OutpatientObservationInpatientER / CC 200 Final Jeopardy