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and Inpatient outpatient hospital services Jessica Thibodeaux HCR/230 Barbara Hopkins Inpatient services are designed for a patient to stay overnight such as skilled nursing facilities and long term care facilities. These facilities help patients with recovery and rehabilitation as well as patients with chronic disorders, or prolonged illnesses. The major difference between inpatient and outpatient facilities is outpatient facilities is an emergency room setting where a patient is diagnosed and discharged or admitted as inpatient patients. Outpatient services also include home health care. This service is beneficial for people who wish to be in his or her home setting. At home recovery care is an outpatient service where skilled nurses help patients with daily living care such as bathing and eating. Hospice care is an outpatient service for with patients terminal illnesses and not expected to live longer than six months. Outpatient services are meant for patients that do not require overnight stay for care. When coding for inpatient and outpatient services there are differences that affect the process. First of all in an inpatient service, you use the diagnosis after study first in the coding process. In outpatient services you code the reason for visit first and the diagnosis after study last. Inpatient coding uses the ICD-9-CM volumes 1, 2, and 3. Outpatient services use volume 1 and 2 but the CPT code for procedure codes. If someone were to be confused during the process of coding and mix them up, the claim could be denied and the practice could be audited. It is important to understand the rules for inpatient and outpatient coding to have clean claims. ... View Full Document

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