When is (Direct Admit) G0379 appropriate with relationship to "physician in the community"
There seems to always be some conversation going around about when to charge the Direct Admit to OBS charge. I think the billing manual is vague on it's description/definition of "physician in the community". Is this ANY type of referral source where a physician is making a phone call to my in house docs for acceptance? i.e. Free standing ED or UC, that is not a dept of the hospital, has a doc that calls my Hospitalist to accept a patient for observation services. Doe that scenario fit the "physician in the community" criteria??? None of the docs or entities that encountered the patient prior to my admit to OBS have any billing relationship to us. Direct Admit charge or no direct admit charge????
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