Coding for surgical services can be complicated because it involves numerous rules guidelines and exceptions that frequently change an area of exceptional difficulty is the correct use of codes for evaluation and management e m of patients who require hospitalization. For services that can also be provided in a doctors office you may pay more for services you get in a hospital outpatient setting than youll pay for the same care in a doctors office however the hospital outpatient copayment for the service is capped at the inpatient deductible amount. Outpatient ambulatory coder jobs are trending faster than ever before as physicians move away from private practices and join hospital groups career opportunities in outpatient facilities such as ambulatory surgical centers ascs or hospital outpatient billing and coding departments are opening for coders. Billing and coding guidelines for acute inpatient services versus observation outpatient services hosp 001 original determination effective date original determination ending date revision effective date hospital services covered under part a. The aj condition code is used on the outpatient hospital claim to exempt the patient from the 300 cost sharing for emergency room services or outpatient therapy services physical therapy chemotherapy radiation therapy psychology counseling and renal dialysis
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