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The purpose of the RED process is to support patients from the time they leave the hospital until. the first scheduled primary care provider appointment. The phone call supports a patientâs transition. from the time of discharge until his/her first follow-up primary care appointment. It is important to. include a patientâs support person(s) in the process, if the patient agrees to his/her participation.
If the documentation for the initial visit does not support one of the initial inpatient procedure codes, CMS has instructed contractors to not find fault with the physician billing a subsequent care procedure instead.he hospital inpatient initial care codes are CPTÂ® 99221-99223. The hospital inpatient subsequent care codes are CPTÂ® 99231-99233. This hospitalist is asking me if they should bill the highest level initial care code or the highest level subsequent care code for their initial encounter as a consultant.