How do you bill a hospitalist?

In the inpatient hospital setting, CPT codes 99221-99223 should be used to report initial hospital care, per day, for the evaluation and management of the patient. Hospitalists need to ensure thorough documentation of the initial hospital visit, which includes history, physical examination, and medical decision-making.

What procedures does a hospitalist do?

What does a hospitalist do? Hospitalists provide general medical care to hospitalized patients. They lead the hospital medical team, coordinating care for inpatients. They may examine individuals as they’re admitted, ordering x-rays, diagnostic tests, and other lab work.

What is a hospitalist coder?

Hospitalist Coding –Hospital Medicine Coding Background It combines elements of almost every other clinical specialty to direct the treatment of acutely ill inpatients. The fact that it is so broad in scope, yet so focused in its goals means that Hospital Medicine coding presents a series of unique challenges.

What is the hospitalist model?

The hospitalist model of inpatient care is associated with cost-effective and high-quality care, but this result may come at the cost of patients’ own expressed values. Because this model requires a handoff between the primary care physician (PCP) and hospitalist, it generates concerns about continuity of care.

What is hospital documentation?

Documentation supports coding which is the basis of correct revenue and reimbursement. Otherwise a hospital could be losing revenue. Documentation is necessary for complying with quality measures. Quality information supports care management and making sure protocols are followed.

What is hospitalist coding?

Hospitalist coding encompasses essentially every clinical specialty and subspecialty. This makes hospitalist coding algorithmically more complex, particularly for the Medical Decision Making component of Evaluation and Management coding.

What is medical documentation system?

medical documentation. A term relating to a patient care or medical record. Typically, medical documentation consists of operative notes, progress notes, physician orders, physician certification, physical therapy notes, ER records, or other notes and/or written documents; it may include ECG /EKG, tracings, images, X-rays, videotapes and other media.