General Surgery Coding Alert - 2019 Issue 12
You Be the Coder: Separate Some Same-Day E/M, ER Encounters
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Article Overview
This Q&A article reviews how a same-day office visit and emergency department encounter may be viewed for professional billing purposes when the same physician is involved. It is aimed at coders, billers, and compliance staff who need to understand the general circumstances under which multiple E/M services may be reported, along with the documentation and modifier considerations discussed in the article.
Why This Topic Matters
Same-day encounters across settings can affect whether one service or more than one service is reported, which is important for accurate claim submission and compliant documentation review.
What You Will Learn
- How the article frames same-day office and emergency department E/M encounters
- The general billing considerations discussed for encounters by the same physician
- The role of documentation and medical necessity in the scenario
- When modifier-related review is part of the discussion
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
Codes Discussed
Modifiers Discussed
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