Inpatient Psych Professional Services Billing

[Jls052757]

I am billing for psychiatrist that usually offers just outpatient and now he is going inpatient.  I have a few questions if someone can be so kind to help....

Here are some facts.....   MD is admitting physician in most cases.....  MD sees patient at least once every 3 days....... other providers that work with the patients bill independently as does the MD...... 

1) Do I have to wait until patients are discharged to bill even if he only sees the patient 1 out of the 5 days they are on the unit?

2) Do I have to put the dates to and from on the claim even if they are only seen once by the MD i am billing for?

3) Do I have to use the AI modifier when he is listed as the attending physician?


Thanks!

[Michele]

1) Do I have to wait until patients are discharged to bill even if he only sees the patient 1 out of the 5 days they are on the unit?

No, you can bill while the patient is still in the hospital.

2) Do I have to put the dates to and from on the claim even if they are only seen once by the MD i am billing for?

You use the date the patient was seen.  Just as if it were an office visit.

3) Do I have to use the AI modifier when he is listed as the attending physician?


Thanks!

I do not believe that the AI modifier is required, however some insurances may require it.

[Collachi]

Since you've never done inpatient psych, make sure you have the correct POS of the facility, and the facility NPI for box 32 of your claim form.