Observation status is a clinical choice, not a billing one
One night, during cross coverage with residents, I was called to provide clinical oversight for a frail older woman admitted from the emergency department. She had multiple comorbidities and a deteriorating clinical picture, but she had been placed under observation…
One night, during cross coverage with residents, I was called to provide clinical oversight for a frail older woman admitted from the emergency department. She had multiple comorbidities and a deteriorating clinical picture, but she had been placed under observation status. I was perplexed.
When I asked residents why observation was so often selected, the answer was usually some version of this: “It is easier to change the patient to inpatient …
Observation status is a clinical choice, not a billing one









