medi-cal admissions thorugh er

When billing admission codes (99221-99223) on medi-cal patients, does the place of service need to be submitted with the claim? It looks like when admitted through the er, the reimbursement is higher.

medi-cal

Sounds like you live in California. Who are you billing for? Reimbursement for the physician is lower in facility setting, than if performed in non-facility setting. Medi-cal has its own State requirements and I would refer to the State manual for billing instructions. You would not code POS as ED if the patient was admitted (this is an inpatient setting, hospital admit). The emergency department is an outpatient setting.

medi-cal admissions thorugh er

This is in California. Say I admit the patient from the er to the hospital and bill a 99223. If you look at the medical fee schedule website there are 3 different reimbursement rates...basic, child and er. I'd be either basic or er. ER pays more than basic. Which one would I use?

Admit

I do not have your manual but sounds like basic. Verify with carrier