tci ED Coding & Reimbursement Alert - 2017 Issue 2

In-House Emergencies: Make the Call: Subsequent Hospital, Outpatient Visit, or Consult?

Patient status and documentation will determine your code choice When an ED physician is called to in-house codes or other emergencies, it’s essential to accurately document services and procedures. That documentation will guide your way to the correct codes. For example: You may consider billing for an initial consult if all the requirements are met. In some circumstances the ED physician’s expertise is required beyond that of the hospital attending service, and the attending or other designee has requested their expertise. Before coding for a consult, remember the three requirements (previously dubbed the three R’s): a...

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