Billing for a patient in a bed

A patient will be discharged from the hospital but refuses to leave. The hospital was going to charge them for the bed after giving notice. On a hospital bill, how is that actually done? Is there a code for room and board that goes on the statement like they code for medication or a CT scan? What is the code? Is this an hourly code or daily code?

Any details you can provide would be great.

re: Billing for a patient in a bed

Yes, the hospital bills a revenue code for room. Example: Room and board includes but is not limited to:
Recreation therapy; Postpartum services; All equipment to weigh a patient;
Room and complete linen service; Administration of medications including IV’s
Dietary service including all meals, therapeutic diets, required nourishment’s, dietary supplements and dietary consultation; Thermometers, blood pressure apparatus, gloves, tongue blades, cotton balls and other common items used in the examination of a patient; All general nursing services including but not limited to coordinating the delivery of care, supervising the performance of other staff members who have delegated member care and member education; Routine supplies provided as part of routine care, including, but not limited to: drugs, wipes, swabs, scales, bed pan, bedside commode, breast pump, and personal care items (e.g., lotion, shampoo, soap and patient gowns).

Revenue Codes for Accommodation Services

Revenue Code
Description
111 Room and Board – Private, Medical/Surgical/Gynecological
112 Room and Board – Private, OB
113 Room and Board – Private, Pediatric
114 * Room and Board – Private, Psychiatric
117 Room and Board – Private, Oncology
118 Room and Board – Private, Rehabilitation
119 Room and Board – Private, Other
121 Room and Board – Semiprivate 2 Bed, Medical/Surgical/Gynecological
122 Room and Board – Semiprivate 2 Bed, Obstetric
123 Room and Board – Semiprivate 2 Bed, Pediatric
124 *Room and Board – Semiprivate 2 Bed, Psychiatric
127 Room and Board – Semiprivate 2 Bed, Oncology
128 Room and Board – Semiprivate 2 Bed, Rehabilitation
129 Room and Board – Semiprivate, 2 Beds, Other
131 Room and Board – Semiprivate 3 or 4 Bed, Medical/Surgical/Gynecological
132 Room and Board – Semiprivate 3 or 4 Bed, Obstetric
133 Room and Board – Semiprivate 3 or 4 Bed, Pediatric
134 *Room and Board – Semiprivate 3 or 4 Bed, Psychiatric
137 Room and Board – Semiprivate 3 or 4 Bed, Oncology
138 Room and Board – Semiprivate 3 or 4 Bed, Rehabilitation
139 Room and Board – Semiprivate, 3 and 4 Beds, Other
151 Room and Board – Ward (Medical or General), Medical/Surgical/Gynecological
152 Room and Board – Ward (Medical or General), Obstetric
153 Room and Board – Ward (Medical or General), Pediatric
154 *Room and Board – Ward (Medical or General), Psychiatric
157 Room and Board – Ward (Medical or General), Oncology
158 Room and Board – Ward (Medical or General), Rehabilitation
159 Room and Board – Ward, Other
169 Room and Board, Other
http://www.trailblazerhealth.com/Publications/Training%20Manual/InpatientServicesManual.pdf

re: Billing for a patient in a bed

When this occurs, the patient is given written notice after UR decision that level of care is no longer required. Hospital billers indicate patiient responsibility on the UB-04 through the use of value codes & occurrence codes to indicate date of patient UR notice, date patient is officially financially responsible & amount of patient responsibility. The notice/Patient Bill of Rights advise patient of steps to appeal decision if they wish to pursue.