Hca/230 Inpatient and Outpatient

Good Essays
What are the major differences between inpatient and outpatient hospital services? Describe how these differences affect the coding process and provide examples.

There are some differences between the outpatient and inpatient services offered by the hospitals. The inpatient services deal with services provided in the form of overnight care provided to the patients. These services can be under different care units depending upon the needs of the patients. Example of some of these care units can be long term care facility and the skilled nursing facilities. Contrary to it the outpatient services offered by the hospital constitute of emergency services performed in the emergency departments of the hospital. Besides the emergency services there is another care unit called the ‘ambulatory outpatient care unit’. In the patients are admitted as an outpatient but they do not stay overnight and go home the same day after they have been administered with the required medical procedure and treatment. Hospice and home health care also fall under the category of the outpatient services.
Since the services offered in the outpatient and the inpatient is different hence there is a difference in the coding process also. In case of an inpatient service the coding is done when the patient is discharged and the rules for the application of codes in the inpatient services are a bit different than in the outpatient services. The most major difference is that the outpatient services use the primary codes and the inpatienservices use the principal codes. Also in case of inpatient services the codes may be different at the time of admitting the patient and at the time of diagnosis. Example would be like code 789 is used as an admitting code for the severe abdominal pain and after diagnosis code 540 would be used for acute appendicitis.

In the inpatient coding the ICD codes are utilized whereas in the outpatient coding the CPT codes are utilized. Also contrary to as stated above

You May Also Find These Documents Helpful

  • Good Essays

    Inpatient and Outpatient

    • 549 Words
    • 2 Pages

    Inpatient and Outpatient Hospital Services Andrea Muller HCR/230 November 16, 2014 Rebecca Robinson Bragg Inpatient hospital services are services that provide patients a place to stay overnight. Inpatient care facilities can also be provided for special services. A couple of examples of an inpatient care setting are a skilling nursing facility or a long-term care facility. “A skilled nursing facility (SNF) provided skilled nursing and/or rehabilitation services to help with recovery…

    • 549 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Inpatient and Outpatient Hospital Services Hospitals provide different services, for example inpatient and outpatient. Although both services are provided within the hospital and have obvious similarities there are also major differences. The codes used within each service are affected by the differences between the services. Inpatient hospital services are services that provide patients a place to stay overnight. Inpatient care facilities can also be provided for special services. A couple of…

    • 596 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Medical Coding 1, Lesson 8 1. The three goals of the Physician Payment Reform are as follows: Decrease Medicare expenditures, Re-Distribute physicians payments more equitably and ensure quality health care at a reason rate. 2. You would use modifier 57 for the hospital visit. 3. 1. Physician Work – the relative level of time, skill, training and intensity to provide a given service. 2. Practice Expense – this component addresses the costs of maintaining a practice including, rent, equipment…

    • 484 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Kayla Kuebler 21597852 38177400 Page 1 of 4 255 Main St. Apt. B-12 Corinth, N.Y 12822 themamaz13@yahoo.com 1. The three goals of the Physicians Payment Reform are to decrease Medicare expenditures. As well as redistribute physician’s payments more equitably. Also to ensure quality health care at a reasonable rate. 2. I would use modifier -57, decision for surgery with the E/M code for this case. Due to the E/M service and the decision for surgery were made earlier that same day. 3. There are…

    • 1225 Words
    • 6 Pages
    Good Essays
  • Good Essays

    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…

    • 375 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    time to seek treatment, the next step is to learn about an inpatient vs outpatient drug rehab. While cost is always a factor, individuals will also want to consider the intensity of treatment that they need and the types of programs that they are looking for. In addition, individuals must look at their current lifestyle to see if they have outside responsibilities that must be cared for while they are being treated. An Inpatient Vs Outpatient Drug Rehab In 2008, the Substance Abuse and Mental Health…

    • 433 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Hca 230 Communication

    • 493 Words
    • 2 Pages

    Communication is a way of talking to people. You can express yourself and maybe understand the world better around you. There are all kinds of ways for us to communicate with each other. This is one way for groups and individuals to develop their own unique approach to communicate. For a successful foundation it is very important that you understand the ways of communication this will also help you for your professional relationships. You communicate with more than words in a relationship. A big…

    • 493 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Hca 230 Communication

    • 2057 Words
    • 6 Pages

    Health Care Roles in Communication Bethann Rice University of Phoenix Health Care Roles in Communication Elisabeth Kubler-Ross once said," “We have to ask ourselves whether medicine is to remain a humanitarian and respected profession or a new but depersonalized science in the service of prolonging life rather than diminishing human suffering.” In the health care field there are many roles that balance each other. Whether it is the doctor, patient, or medical assistant all play a vital role…

    • 2057 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    Hca 230 Teamwork Analysis

    • 269 Words
    • 2 Pages

    Teamwork Leah Mayfield-Nash HCA-230 September 03, 2010 Malinda Sever As head of the billing department my job duty is to establish a strategy for a team to resolve the issues within the billing department. For instance, the billing department receiving inaccurate billing codes and information needed for data entry, which slows down production and payment for the doctor. Choose people that are already employed by the billing company and maybe one or two new employee(s), look…

    • 269 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Working with Teams HCA/230 People tend to do three things when faced with a problem: they get afraid or uncomfortable and wish it would go away; they feel that they have to come up with an answer and it has to be the right answer; and they look for someone to blame. Being faced with a problem becomes a problem. And that 's a problem because, in fact, there are always going to be problems! Effective teamwork can make the difference between a successful project and a disastrous one. The best…

    • 813 Words
    • 4 Pages
    Good Essays