Inpatient vs Outpatient | codemode

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CODE.MODE

CODE.MODE

CODE.MODE

CODE.MODE

Medical Billing and Coding

CODE.MODE

Inpatient vs Outpatient

Insurance: Medicare Part A

Coding Systems:

ICD-10-CM

ICD-10-PCS

Insurance: Medicare Part B

Coding Systems:

ICD-10-CM

CPT

HCPCS Level II

Inpatient

Outpatient

Billing Form:

UB-04 (CMS-1450)

Billing Form:

CMS-1500

Reimbursement:

Based on DRG

Reimbursement:

Based on Physician Fee Schedule,

insurance contracted rates, ambulatory surgical center rates, etc.

"Probable," "Suspected"

"Rule Out" Conditions

CAN be coded.

"Probable," "Suspected"

"Rule Out" Conditions

can NOT be coded.

Code symptoms.

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