Our hospital is considering admitting OSH ED transfers into Observation Status vs. Inpatient Status.
For those with experience, any implications for critical care billing or collections?
University of Colorado
Out of curiosity, what is the hospital's intention in admitting to observation? I think it would be very difficult to justify that a patient is critically-ill but is not admitted to the hospital unless you want to say that because of your critical care assessment and interventions, the patient was deemed to warrant admission to critical care.
Peds ICU here -- we get kids who have ingested some substance / med & though clinically look great, Poison Control recommends CV monitoring, q1 neuro checks, q1 blood glucose. We have no telemetry unit for gen care (only cardiac), so they come to PICU, stay 12-24 hrs, and go home. WE do labs, check EKG, and observe. That's OBS.
As stated in the CMS billing guidelines, location of care or patient status does not dictate critical care billing. I believe, Emergency Departments where patients are not in hospital admission status, have the highest critical care billing by volume. More important is supportive documentation in my opinion.
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