
← CCO.us Podcast | Medical Coding, Billing, Auditing & Risk Adjustment19. Sept. · 29 Min.
Same-Day Professinal Billing - Outpatient to Inpatient Transitions
A patient is seen in the clinic in the morning and admitted to the hospital that afternoon. Same physician, same date, two encounters.
Do you bill both?
In this episode, learn how same-day outpatient-to-inpatient E/M billing works, including 99221–99223, bundling, cumulative time, modifier AI, concurrent care, payer differences, and documentation that supports a defensible claim.
You'll learn:
When outpatient E/M is bundled into the admissionHow to level 99221–99223MDM vs. cumulative timeHow modifier AI is usedWhen another provider may billMedicare vs. commercial differencesCommon same-day E/M audit risks
This episode is from the CCO Community Q&A #1761 webinar.
Watch the full video here: https://youtu.be/uImj-UGAFGs