Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. usually, the problem(s) requiring admission to outpatient hospital observation status are of high severity. typically, 70 minutes are spent at the bedside and on the patient’s hospital floor or unit.

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