If the patient starts off as observation status and rolls over to inpatient status day 3 of hospitalization, I have been told day 3 can be billed as inpatient INITIAL (versus subsequent) [Coding for Inpatient-Provided Services, AAP, 02/2015]
Inpatient Rollover Documentation
HOWEVER, should the medical note document the roll over status? Would the physician need to dictate a new H&P on the date of roll over? What are the rules/guidelines for notes on an inpatient roll over?
I hope the question was worded clearly.
Thank you!
Inpatient Rollover Documentation
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