Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci E/M Coding Alert - 2015 Issue 4
Emergency Codes: Report More Than 1 ED E/M Code to Pay Multiple Professionals
Don’t try to get paid for a nurse’s work in the ED when the patient doesn’t see a physician.
When two physicians, your emergency doctor and a consultant from your group, provide services during the same emergency department (ED) encounter, you can report the same ED code for each provider — but your claim’s success depends on detailed documentation from both doctors.
Continue reading to learn what E/M codes to submit for emergency department services, even when the provider isn’t assigned to the ED.
Look Beyond the Code Description
When a provider sees a...
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