A patient is admitted to the hospital from the emergency department. The resident performs a comprehensive history and physical examination and reviews the findings and plan of care with the attending physician by telephone. The medical decision-making is moderately complex. The attending physician sees the patient the next morning and the patient is discharged later that day. How should the attending physician report her services for the 2 days of hospitalization?

When a patient is admitted to the hospital by a resident, the teaching physician must report the date of service for the initial visit as the date on which he provided the face-to-face service and performed and documented the key or critical components. As the initial service and discharge management is provided on the same day, the physician would report code 99234–99236 (observation or inpatient hospital care including admission and discharge, same day) based on the level of history,...

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