tci ED Coding & Reimbursement Alert - 1999 Issue 9

How to Catch the Most Commonly Missed Charges in the ED

Few healthcare providers are in more of a reimbursement crunch than emergency physicians: Medicare and many commercial third-party payers are cutting reimbursement levels, managed-care plans often strenuously attempt to limit their insured members ED visits, and, as always, the hospital emergency room must absorb the cost of a large portion of unpaid care for indigent patients.In this climate, ED physician groups can hardly afford to leave any earned revenue uncollected, but emergency medicine management consultants and billing experts often tell us that emergency physicians frequently leave valid charges on the table due to errors in coding and documentation...

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