Reader Question: Medicare Doesn't Expect Hospital and ER Doc Codes to Match

Article Overview

This article addresses a common Medicare coding question involving evaluation and management billing by hospitals and physicians in the emergency setting. It explains the general relationship between facility and professional coding, and references CMS and the AMA in discussing why the two claim types are treated as separate systems. The piece is useful for coders, billing staff, and compliance readers who need a quick clarification on how Medicare views code alignment between entities.