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tci ED Coding & Reimbursement Alert - 2008 Issue 3

Use Encounter Notes to Decide Between Vent Management, E/M

Patient's status, therapy type lock down pay If you report ventilation therapy when your ED physician performed critical care, you could lose out on over $100 per claim. But breathe easy: If you focus on the encounter notes, you-ll know when to choose a ventilation assist code and when to opt for the E/M. Patients who require ventilation assist and management present a unique coding challenge. The ED physician might provide the ventilation assist only, or he might provide ventilation services during the course of a high-paying E/M service, such as critical care. Choose Either Vent Therapy or E/M...

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