Sorry to change to topic of the recent posts, but I have an observation billing question. We recently opened an observation unit in our Pedi ED and as everyone else, we continue to see a rise in pediatric psych volume. What is your experience in getting reimbursement for placing the pedi psych holds in observation while you are continuing to give ongoing care while they await bed placement?
Also, anyone admitting post surgical patients to their observation unit? i.e. appendicitis diagnosed in ED, to OR for surgery, then back to observation unit for their remaining care. (observation unit beds licensed as ED beds by DPH). Thanks for your input.
Brian Sanders, MD
Chief, Pediatric Emergency Medicine
MassGeneral Hospital for Children at North Shore Medical Center
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