Pro Fee Observation Services – Healthcare Cost Solutions, Inc.

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This tutorial discusses the changes to CPT code assignment and new guidelines for coding Hospital Observation Care for pro fee services. (2 AHIMA Approved CEUs)

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Tutorial Content

Initial Observation Care New or Established Patient

Subsequent Hospital Inpatient and Observation Care Services

Hospital Observation Services Observation Care Discharge Services

Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services on the Same Date)

Inpatient or Observation Consultations – New or Established Patient

Services Reported Separately – Coding Guidelines

Levels of E/M Services

Medical Decision Making

Number and Complexity of Problems Addressed at the Encounter

Definitions for Problem Acuity

Amount and/or Complexity of Data to Be Reviewed and Analyzed

Risk of Complications and/or Morbidity or Mortality of Patient Management

Guidelines for Selecting Level of Service Based on Time

References

ProFee Observation Services