tci ED Coding & Reimbursement Alert - 2005 Issue 1

Quiz: Submitting Flawless Hospital Bills

See if you can spot the errors in these examples If you think your emergency department (ED) isn't receiving all the reimbursement it deserves (hint: most EDs aren't), inspect these expert-supplied bills carefully to see if you can stop denials in their tracks. Bill #1: A Medicare patient presents in the ED with a stiff neck, headache, vomiting, and fever. The ED physician ordered intravenous (IV) NS, 25 mg of IV Demerol, 12.5 mg of IV Phenergan, labs, and a computed tomography (CT) scan of the head. She consulted a private physician who performed a spinal tap...

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