I'm a brand new hospitalist and my group handles the billing, and I haven't really gotten a grasp of how much I get when I actually see patients. I get reports but it is very opaque and confusing, and I haven't had much chance to sit and go over things like this with our billers.
Things I don't really understand are:
1) How much do I get for the initial H&P? 2) How much do I get for the progress note? 3) Does a DC summary generate a different amount than the progress note? 4) In an open ICU, how much more do I get for the days the patient is in the ICU?
I know these obviously do not have a single answer because they vary by insurance, medicare, obs/inpatient and complexity level that they are billed at.
Maybe some examples would help:
A) Patient admitted under inpatient status for acute systolic CHF exacerbation, history of COPD, diabetes. Patient has Medicare
B) Same patient as above, but they need ICU level of care
C) Same again, but they have private insurance (Say, blue cross blue shield)
I appreciate any insight someone with more experience can give. I just want to know what I should be expecting in general terms
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