General Surgery Coding Alert - 2010 Issue 11
Reader Questions: Tread with caution if considering DOA billing
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Article Overview
This article addresses a billing question involving an emergency department patient who is dead on arrival and receives limited resuscitation efforts. It explains the general coding and documentation issues raised by the encounter, who may find the discussion relevant, and why institutional policy and documentation matter in this type of claim review.
Why This Topic Matters
Dead-on-arrival encounters can create uncertainty about whether any emergency department service is reportable and what supporting documentation is needed. The article is useful for coders, billers, and emergency department staff who want to understand the broad considerations involved in these claims.
What You Will Learn
- How dead-on-arrival emergency department encounters raise documentation and reporting questions
- Why emergency department evaluation-and-management reporting can be problematic when key elements are not documented
- How cardiopulmonary resuscitation claims may be discussed in the context of DOA cases
- Why facility policy may affect whether a claim is submitted
Who Should Read This
- Medical coders
- Medical billers
- Emergency department staff
- Physician practice managers
- Compliance staff
Codes Discussed
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