Coding Jeopardy

1
Coding Jeopardy
Outpatient
Observation
Inpatient
ER / CC
100
100
100
100
200
200
200
200
300
300
300
300
400
400
400
400
500
500
500
500
Final Jeopardy
2
100
3
Outpatient 100

• Of the history, exam and decision making - this
  is the driving force behind code selection

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1
4
100
5
Observation 100

• This must be in the patients record anytime a
  provider wants to bill for observation care

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6
6
100
7
Inpatient 100

• If 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)

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8
8
100
9
ER / Critical Care 100

• This is the only time a provider can bill a
  hospital visit and critical care on the same day

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15
10
200
11
Outpatient 200

• In addition to documentation, EM codes can also
  be selected by this

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2
12
200
13
Observation 200

• In the event your patient is in observation for
  more than two calendar days, use these types of
  EM codes for day two

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6
14
200
15
Inpatient 200

• The proper way to code when Dr. A (on call
  doctor) in one group sees Dr. Bs patient on the
  same day for a different problem - same specialty

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8
16
200
17
ER / Critical Care 200

• The following describes the proper way to code
  for a physician providing 35 minutes of critical
  care

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14
18
300
19
Outpatient 300

• This modifier requires you have a separately
  identifiable note in the patients chart

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4
20
300
21
Observation 300

• In the event a patient is in observation and is
  admitted later on the same day, Medicare will
  pay for these series of code(s)

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6
22
300
23
Inpatient 300

• This is the only EM code you can bill on the
  same day as a hospital or observation discharge

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9
24
300
25
ER / Critical Care 300

• If 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

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12
26
400
27
Outpatient 400

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

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5
28
400
29
Observation 400

• This is the series of code(s) you would use to
  bill for a visit observation on day one and an
  admission on day two

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6
30
400
31
Inpatient 400
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
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14/15
32
400
33
ER / Critical Care 400

• The physician billing for critical care can only
  count his/her time in two places. 1) at the
  immediate bedside and 2)__________

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13
34
500
35
Outpatient 500
These codes are used when the provider spends 30
minutes or more over the time allocated for the
EM code selected

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16 / 17
36
500
37
Observation 500

• If 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.

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6
38
500
39
Inpatient 500

• This 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

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17
40
500
41
ER / Critical Care 500

• This is the proper way to code for a patient in
  the ER receiving critical care between the hours
  of 1130PM to 100AM the following day

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14
42
Daily Double
43
Final Jeopardy

• These are the six EM codes that can be billed
  with a nursing home admission - 99303