Billing Observation Hours in CC44 Scenario
I manage a team of Nurse Auditors. Per HCPro's "Medicare Compliance Essentials Training Compendium", page 54, it states (and/or implies) that in a Condition Code 44 scenario,the hospital may report and bill Observation hours, under revenue code 762, PRIOR TO the order for Observation status. Currently, in a CC44 scenario, we charge OBS hours beginning with the Observation order for Medicare/Medicaid and MA plans. Commercial payers allow us to bill OBS hours from the original IP order forward. My question is...in a CC44 scenario, may we report and bill for Observation hours (Rev code 762) PRIOR TO the order for Observation status?
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