Medicare Compliance & Reimbursement - 2015 Issue 8
Reader Questions: Take This Expert Advice, On Billing For Extra Consultation Time
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Article Overview
This reader Q&A discusses emergency department E/M billing and whether additional consultation time can be billed separately in a time-independent setting. It is aimed at coders, billers, and compliance staff who work with emergency department documentation and reporting rules, and it provides general guidance on the relationship between visit timing, prolonged service reporting, and face-to-face encounters.
Why This Topic Matters
Accurate understanding of time-based versus non-time-based ED reporting helps avoid inappropriate claim submission and supports compliant emergency department billing practices.
Article Sections
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Question
Introduces a billing question about extra time spent with a patient in the emergency department and whether that time can be reported separately.
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Answer
Explains the article’s general guidance on emergency department E/M reporting, prolonged services, and time considerations in this setting.
What You Will Learn
- How emergency department E/M reporting is generally framed in relation to time
- When prolonged service concepts are discussed in the context of ED encounters
- How face-to-face encounter time is treated in a high-acuity emergency setting
- Why emergency department billing differs from other time-based evaluation and management services
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Emergency department practice staff
Codes Discussed
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