Medicare Compliance & Reimbursement - 2015 Issue 7
Reader Questions: Resolve Coding Disagreement with Physician
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Article Overview
This reader Q&A addresses a common emergency medicine coding issue: what to do when the documented level of care appears inconsistent with the record. It explains the importance of reviewing the chart with the physician and checking current critical care and emergency department evaluation and management guidance before finalizing code selection. The article is aimed at coders, auditors, and billing staff working with emergency department services and physician documentation.
Why This Topic Matters
Understanding how to resolve documentation disagreements helps reduce coding errors, supports compliant claim submission, and promotes consistent use of emergency department and critical care guidance.
What You Will Learn
- How to approach a discrepancy between documented service level and chart support
- Why physician review of the medical record matters in disputed cases
- Which broad emergency department and critical care guidance areas to review before coding
- How documentation and time-related considerations affect service-level review
Who Should Read This
- medical coders
- coding auditors
- billing staff
- emergency department coding professionals
Codes Discussed
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