tci ED Coding & Reimbursement Alert - 2020 Issue Q1

Billing: Heed This Essential Advice When Family Members Walk Into the ED

CMS is not in favor of billing for services administered to family members. Chances are that your ED physician is likely to see family members as patients. After all, in many towns, there’s only one emergency department available, and emergencies do happen. But when it comes to coding those claims, there are specific criteria you must follow to stay on the right side of Medicare’s compliance regulations. First, Check State Ethics Guidelines Before you treat a family member, find out where your state medical society stands on the issue. The American Medical Association’s Council on Ethical...

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