tci ED Coding & Reimbursement Alert - 2001 Issue 7

Code Trauma Procedures Separately for Best Payment

ED physicians unfamiliar with proper coding for trauma often undercode and undercharge for these services. But often a third-party payer, such as an automobile insurer or workers' compensation carrier, is responsible for payment. No matter who is paying the bill, full compensation is lost unless all separately billable procedures are documented, says David McKenzie, director of the reimbursement department for the American College of Emergency Physicians. "If you're not billing for these, you're leaving money on the table," McKenzie says. Mike Williams, president of the Abaris Group in Walnut Creek, Calif., who has spent nearly 10 years...

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