tci ED Coding & Reimbursement Alert - 2006 Issue 6

Base Your Subsequent Hospital Care Coding on Interval History

Rules for reporting these encounters differ from rules for other E/M services When the ED physician provides subsequent hospital care to a patient, the onus is on the coder to choose the proper level of evaluation and management service based on the physician's notes -- and this can be a very challenging undertaking.  ED coders often under-report subsequent hospital care services, resulting in a lower payout and hurting the facility's overall finances. This could occur if a coder fails to realize that she need not satisfy all of the E/M components to report the subsequent care codes, says...

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