This webinar was held on 12/5/2023. This is the sixth in our series on E/M services. The CPT for 2023 and after combined the inpatient and observation procedure codes. We will discuss the Medicare rules for both services. We will include information on: • Procedure codes: 99221 – 99223, 99231 – 99233, 99234 – 99236, and 99238 and 99239 • Medical necessity • Split/shared • Correct billing for patients in observation • Concurrent care Resources : Medicare Claims Processing Manual, Chapter 12, Section 30.6.9 and 190. https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104C12.pdf CMS MLN006764 Evaluation and Management Services Guide https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/eval-mgmt-serv-guide-icn006764.pdf Take the survey: https://cmsmacfedramp.gov1.qualtrics.com/jfe/form/SV_8qQ1Igmkc0UPfMN?Title=Encore%3A%20Evaluation%20and%20Management%3A%20Inpatient%20Hospital%20Services&Presenter=Ellen%20Berra Chapters 00:00 Intro 02:29 Choosing a Procedure Code 04:04 Same Physician 05:17 Procedures on the Same Day 10:18 Observation Care 15:40 Inpatient Admit Following Observation Care 16:39 Admission and Discharge on the Same Day 21:09 Inpatient Hospital Care Codes 23:42 Continuous Services 25:15 Subsequent Care Codes 28:06 Multiple Physicians 29;33 Hospital Transfers 31:12 Discharge Management 36:34 Pronouncement of Death 37:28 Prolonged Care Services 39:24 Telehealth 42:23 Shared or Split Services 47:20 Common Denials 49:51 Questions 56:46 Closing Comments