tci ED Coding & Reimbursement Alert - 2004 Issue 10
How Can I Check Our 99231 Claims?
Random sample reveals patterns If your ED practice repeatedly reports the same subsequent hospital care code, you should perform a chart review to ensure you're accurately coding the visits, coding experts say. Take a random sampling of charts in which you reported 99231, and on each file you should determine the history, exam and medical decision-making levels and determine whether they meet the requirements for 99232 or 99233, says Laureen Jandroep, OTR, CPC, CCS-P, CPC-H, CCS, director and senior instructor for the CRN Institute, an online coding certification training center. Helpful hint: If the emergency physician...
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