E/M Visits: Collect for Your ED E/M Visits by Avoiding These Common Mistakes

Why This Topic Matters

Emergency department claims can be vulnerable to coding errors when documentation is incomplete or when software-driven suggestions are accepted without review. Understanding the article’s themes can help readers assess whether it addresses the coding, compliance, and workflow issues relevant to their ED practice.

Article Sections

1. Introductory guidance

   Introduces the article’s focus on ED E/M coding and the role of human review alongside automated tools.

2. Failing to Keep Medical Necessity in Mind

   Discusses the importance of documentation support and review in emergency department E/M reporting.

3. Forgetting to Consider Severity

   Covers how the article frames severity as a factor in selecting among ED E/M services.

4. Coders Unwilling to Change Codes

   Addresses coder review, provider queries, and the need to align claims with supporting documentation.

5. Counting Radiology Interpretations That Other Providers Perform

   Reviews documentation and interpretation issues involving diagnostic tests performed in the ED setting.

6. Billing Critical Care Without Documentation of Time

   Summarizes the article’s discussion of critical care documentation and time reporting in emergency care.

7. Failure to Communicate

   Covers communication practices between providers and coders, including education and query workflows.