Background: There is minimal automated electronic feedback to hospitalists about their level of service in professional billing. Based on today’s payor requirements for inpatient admission, the medical decision-making involved in the care of inpatients almost always justifies a level of service above level 1. However, encounters may still receive level 1 due to under-documentation (e.g. […]

Background: There is minimal automated electronic feedback to hospitalists about their level of service in professional billing. Based on today’s payor requirements for inpatient admission, the medical decision-making involved in the care of inpatients almost always justifies a level of service above level 1. However, encounters may still receive level 1 due to under-documentation (e.g. […]

Case Presentation: A 63‐year‐old man with no medical history presented with headache (HA) for 2 months. A week after his HA started, he had a normal CT of head. His HA worsened over next 2 months and was associated with intermittent fever, photophobia, vertigo and neck stiffness. He was admitted to OSH and had magnetic […]

Background: At academic institutions and other referral centers the process of accepting transfers from other hospitals has been a challenging and potentially laborious process to coordinate smoothly. It was also one that was not previously reimbursable. However, beginning in 2017 Medicare and other insurance companies began reimbursing Non-Face-to-Face Prolonged services procedural codes. These new codes […]

Background: For academic hospital medicine groups to thrive and be partners with their hospital systems, physicians must document and bill appropriately as a means of demonstrating their clinical value. Yet, many major academic hospital medicine groups may be unaware or receive little training for this very important skill set. Based on data from the Society […]

Case Presentation: A 65‐year‐old man with a medical history of hypertension, tobacco use, a recent L3–L5 laminectomy, and posterior spinal fusion was hospitalized with fever, dyspnea, and pleuritic chest pain of 2 days' duration. A month prior to this admission he had q laminectomy with spinal fusion that was later complicated by MRSA wound infection. […]