Preview

Differences Between Inpatient and Outpatient Services

Good Essays
Open Document
Open Document
375 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Differences Between Inpatient and Outpatient Services
When discussing inpatient and outpatient services you are discussing to different processes that issues and medical facilities or private practices. When looking for differences in inpatient and outpatient services, one of the major differences would be the type of service they provide and the coding and billing process. An inpatient service requires the patient to be admitted into a health facility for at least 24 hours. Some inpatient overnight cares can be done at a hospital, skilled nursing facilities or any type of health center that requires that patients care to be given by a licensed nurse under the direction by the doctor, some examples of these services can include intravenous injections, changing bandages and cleaning wounds, or tube feedings. There are also long-term facilities that care for patients with prolonged illnesses such as dementia.

That outpatient service is provided to patients that are not required to stay in the hospital overnight. Most outpatient services are provided in the emergency room, physical therapy, laboratory, same day surgery and radiology, these are a few areas that provide outpatient services. Outpatient services are for patients that come into the health facility for testing and treatments and return home the same day. There are Home Health Care Services that provide some treatments such as some physical therapy, speech therapy and some skilled nursing treatments, the services are also considered and outpatient service.

Day inpatient and outpatient services affect the coding process by the time frame that is used for each service. Inpatient coding is done by medical coders as soon as the patient is discharged from the health facility. An example of inpatient coding would be a patient who was admitted in a hospital for five days after a car accident and when the patient was discharge from the hospital, the patients chart was sent to the billing office who then filed the codes and claim. Outpatient coding is

You May Also Find These Documents Helpful

  • Satisfactory Essays

    OPERATIVE INDICATIONS: This is a pleasant female who comes in with a soft tissue lesion in the left flank over what appeared to be a spigelian hernia site as well.…

    • 341 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hcs 514 Memo Assignment

    • 445 Words
    • 2 Pages

    This facility is able to care for patients who are not healthy enough to return home. The types of patients cared for at this facility are those who need extended stays for things such as severe wounds, respiratory failure, postoperative care, and trauma. Riverside Hospital has qualified nursing staff and certified nursing assistants. Respiratory therapists are available 24 hours daily to provide respiratory needs including weaning patients off ventilators. There is a physical therapy department which includes physical therapists, occupational therapists, and a speech therapist to help patients return to their optimal level of independence. The social worker helps to provide discharge planning which starts the day of admission to utilize resources that may be needed. There is a registered dietician who provides dietary recommendations and education for the patient. Riverside Hospital has an onsite pharmacy with a pharmacist available 24 hours a…

    • 445 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The Medicare National Correct Coding Initiative effects the billing and coding process in many ways. This organization was established to prevent improper coding and billing. The benefits of the CCI, is it performs audits that catch most of the improper coding. It detects codes that should not be coded together, which could cause the patient to be double billed, or improperly billed. The system stops the physician from billing the patient until the codes are properly…

    • 268 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    This is step four, reviewing coding compliance, which makes sure that all guidelines are followed while the codes are assigned. A diagnosis and procedure code are used in the patient’s account and entered in the patient ledger that updates their account information. Step five takes us to review the billing compliance; there are many types of fees for the services provided by a facility. Medical insurance specialists help by determining what a patient needs billed to them and what the insurance company should pay for. Checking out the patient comes next in the steps of bill processing. The payments for the patient visit are taken care of in this step while the patient is still in the office. The codes are completed, the balance has been figured, and now the charges are discussed with the patient. After everything is paid or billed, follow-up work is scheduled, and the patient is finished in the…

    • 749 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The inpatient/outpatient manager is responsible for ensuring patients records are coded in a timely manner. The quality manager is responsible for reviewing documentation to increase quality awareness and opportunities for continuous improvement.…

    • 58 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting. 2. You’ve started your first day at Venture Outpatient Surgery Center. Explain how you would code an operative report. 3. Discuss coding for obstetrics, including items covered by the global fee for antepartum and postpartum periods of normal pregnancy.…

    • 438 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Kot Task 1

    • 2250 Words
    • 9 Pages

    inpatient care in a skilled nursing facility, hospice, and some aspects of home health. Mrs.…

    • 2250 Words
    • 9 Pages
    Powerful Essays
  • Satisfactory Essays

    The medical coding process can be very difficult to understand. Today, I will do my best to try and explain it as simply as possible. It is my goal to make you, the employees, understand this process better so that your job becomes easier to complete.…

    • 337 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting.…

    • 1126 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Practice - form the backbone of ambulatory care. b. Hospital outpatient clinics - function as the community safe net. c. freestanding facilities - walk in clinics b. Mobile facilities - provide certain types of health service d. Telephone triage- expert opinion and advice. f. Home care - service bought to people at home. g. hospice care -a cluster of comprehensive services. H. outpatient long term care -provide coordination and complements informal care. I. Public services -care of patients. j. Community health - provide family orientation and preventive care. Alternative clinics - including wide range of treatments.…

    • 286 Words
    • 1 Page
    Satisfactory Essays
  • Best Essays

    codes, which is a method by which physician-patient encounter is transcribed into a five digit…

    • 2145 Words
    • 8 Pages
    Best Essays
  • Good Essays

    Out patient care is care that is provided to individuals that can come and go (no over night stays). Out patient care is for people that need assistance with things such as physical therapy, speech therapy, as well as occupational therapy. Other types of outpatient care are chemotherapy centers, pain management centers and dialysis.…

    • 554 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Ambulatory attention or outpatient care is medical care provided on an outpatient root, counting analysis, observation, discussion, treatment, interference, and restoration facilities. This care can include progressive medical expertise and actions even when provided separate of infirmaries. Ambulatory attention settings offer healthcare on an outpatient base. That is, patients do not stay overnight in the clinic. The term “ambulatory care” includes a large diversity of healthcare settings that contain but are not restricted to physician workplaces, crucial care centers, dialysis clinics, ambulatory clinical centers, cancer health center, imaging centers, endoscopy health center, community health doctor's, and other types of outpatient health…

    • 102 Words
    • 1 Page
    Good Essays
  • Better Essays

    Right to Discharge

    • 1065 Words
    • 5 Pages

    Discharge from the hospital is the point at which a patient leaves the hospital and returns home or is transferred to a rehabilitation facility or a nursing home. The discharge process typically centers on the specific medical instructions which will encourage the healing process necessary for a full recovery by the patient. The planning process or discharge planning is also a service which fully integrates the recovering patient’s needs just after the hospital stay. In many instances, the discharge plan may includes ancillary services such as visiting nursing care, out patient physical therapy, home blood drawing, or even neuropathy observation. (Forster, 2003)…

    • 1065 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    A medical billing and coding specialist’s main goal is to provide medical billing and coding services so the health provider is paid for medical services rendered. Every medical service is assigned a numeric code to define diagnostics, treatments and procedures. It is the medical biller and coder’s job to enter this information into a database using medical billing and coding protocol to produce a statement or claim. If the claim is denied by the third-party payer, the medical billing and coding specialist must investigate the claim, verify its information, and update new details into the database. Medical billing and coding specialists are also responsible for dealing with collections and insurance fraud.…

    • 612 Words
    • 3 Pages
    Satisfactory Essays