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Triage Only

Debra Posted Tue 28th of October, 2014 18:38:56 PM

I was wondering if there is a rule or guideline regarding patient's that are "triaged only" but then decide to leave while waiting.

Can the ED charge a minimal fee for the triage or if not seen by a physician is it appropriate to charge at all?

Is there a CMS guideline or website that provides this kind of information?

Thanks,

SuperCoder Answered Tue 28th of October, 2014 22:34:28 PM

Based on CMS, you would not be able to bill a facility fee in this situation. The facility fee is incident to the provider. If the provider doesn't see the patient they aren't incident to. See the link below:

https://questions.cms.gov/faq.php?id=5005&faqId=2297

Thanks !!

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