tci ED Coding & Reimbursement Alert - 2007 Issue 5

Choose Observation Code Based on Length of Patient Stay

Learn to ID observations, which pay about  60 percent more than E/MsWhen your ED physician performs observation services, you must be ready to differentiate between the two types of observation codes. For the most spot-on claims, coders also need stellar documentation from encounter forms so they can choose the proper procedure and diagnosis codes.Further, failure to differentiate observation services from standard evaluation and management services will hurt your practice's bottom line. For level-two observation code 99219, Medicare pays about $99.67, says Caral Edelberg CPC, CCS-P, CHC, president of Medical Management Resources for TeamHealth, Jacksonville, Fla. For level-two...

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