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If a hospitalist evaluates a patient in the hospital do we follow inpatient or outpatient coding guidelines? Can we submit this data to the health plan?

April 26, 2017coding evaluates Follow guidelines hospital hospitalist inpatient outpatient patient submit

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If a hospitalist evaluates a patient in the hospital do we follow inpatient or outpatient coding guidelines? Can we submit this data to the health plan?

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A. Yes, submit the hospitalist’s data to the health plan. Follow the physician/outpatient coding guidelines (Coding Clinic 2000 Q3). All physician services should be submitted to the health plan and the plan submits them to CMS.