Strumble
Contributor
Hi,
I'm not an inpatient coder but I do need help in understanding this issue. I have a self pay patient who was given an itemized bill, including labs, meds, imaging, or room and pacu, etc. I believe inpatient coding is based on a PCS code, which should be one facility charge, correct?
I requested a coding review and DRG comparison pricing. Originally, the surgeon had incorrectly coded for the procedure after the surgeon corrected the code, billing is telling me there is no change to amount due because time is what determines the OR charge. I think it's a component but not determinate in charges.
Can someone help me understand this please? Is coding different for self-pay patients? Can they be charged per item instead of PCS or DRG? Attached is the bill in case I'm not making sense. Thank you!
I'm not an inpatient coder but I do need help in understanding this issue. I have a self pay patient who was given an itemized bill, including labs, meds, imaging, or room and pacu, etc. I believe inpatient coding is based on a PCS code, which should be one facility charge, correct?
I requested a coding review and DRG comparison pricing. Originally, the surgeon had incorrectly coded for the procedure after the surgeon corrected the code, billing is telling me there is no change to amount due because time is what determines the OR charge. I think it's a component but not determinate in charges.
Can someone help me understand this please? Is coding different for self-pay patients? Can they be charged per item instead of PCS or DRG? Attached is the bill in case I'm not making sense. Thank you!