tci E/M Coding Alert - 2015 Issue 6

Emergency Department E/M: Don't Let Lack of Official Guidelines Waylay Your Facility Coding Compliance

Keep medical necessity at the forefront of your facility’s guidelines. Because CMS continues to offer no official methodology for determining emergency department (ED) facility levels of service, your organization may be wondering how to determine the proper codes to report.  Good news: If you know where to look, there are some guidelines available for crafting your own. Read on to learn the source of CMS’ guidance and tips on how to apply it to your practice. Differentiate Professional and Facility Basics: There are two components to consider when reviewing ED cases for reimbursement; the professional component for...

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