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Emergency Department Coding & Reimbursement Alert

Part B Payment:
CMS: ED Visits Log 11.7 Percent Error Rate
National Part B overall error rate is only 8.6 percent, the agency notes. Emergency depar... Read more
E/M Coding:
Want to Confirm a High-Level ED Code? Examine the Note
Avoid upcoding your ED's services with these tips. As the government investigates high er... Read more
Billing:
Heed This Essential Advice When Family Members Walk Into the ED
CMS is not in favor of billing for services administered to family members. Chances are t... Read more
You Be the Coder:
Who Can Perform Dental Work?
Question: Thank you for your article last month about dental visits in the ED. There is no... Read more
Reader Question:
Know Your Options for Bimalleolar Fracture
Question: We saw a patient with a bimalleolar ankle fracture. How should we code this? Su... Read more
Reader Question:
How to Proceed When Coder, Physician Disagree
Question: Our physician recently coded a critical care service using the time spent with t... Read more
Reader Question:
Know What Classifies As “Family History”
Question: Would you consider a physician documenting “No sick contacts” acceptable for... Read more
Reader Question:
Evaluation Options for Knee Dislocation
Question: When a patient suffers a dislocated patella, which ICD-10 code should I report t... Read more
Toothache Coding:
Get the Scoop on Coding ED Toothache Visits
Patients with dental pain sometimes even arrive via ambulance. The symptoms can range fro... Read more
ICD-10 Quiz:
Test Yourself: Do You Know These New Diagnosis Codes?
From vomiting to pressure ulcers, new codes debuted in October for these conditions. Alth... Read more
Part B Coding:
Avoid Making Part B Errors With Tips Straight From the MACs
Avoid denials by implementing this simple action plan. Your ED likely has Medicare claim ... Read more
You Be the Coder:
Will You See Higher Pay for ED E/M Visits?
Question: A few months ago, you published an article noting that CMS was considering raisi... Read more
Reader Question:
Know what PHI Breaches Require
Question: If we think we may have breached a particular patient's protected health informa... Read more
Reader Question:
Avoid Modifiers on Unlisted Codes
Question: Our emergency department physician is performing multiple procedures during a tr... Read more
Reader Question:
Avoid Mix-Ups With Clavicle Fracture Repairs
Question: I'm having trouble keeping everything straight in the clavicular fracture repair... Read more
Reader Question:
Perform Some Sleuthing for Cardiac Arrest Dx
Question: If the ED physician documented that the patient has a diagnosis of cardiac arres... Read more