tci Part B Insider - 2004 Issue 6

Documentaton: The Denial Is in the Details for Routine EKGs

Documentation doesn't have to be separate, but it must be identifiableWhen an emergency physician interprets a routine electrocardiogram (EKG), he may believe that "routine" means simple. But in fact, if the physician isn't documenting the results of that EKG in some detail, he can kiss his reimbursement goodbye.If a doctor writes something like "Reviewed EKG, and EKG is within normal levels," he probably won't get paid, says Steve Verno, director of reimbursement for Emergency Medicine Specialists in Hollywood, Fla. "A lot of carriers consider interpretation of an EKG bundled with the evaluation and management procedure," Verno...

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