tci ED Coding & Reimbursement Alert - 2020 Issue Q1

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 error rates among ED visit codes such as 99285 (Emergency department visit for the evaluation and management of a patient…), you can confirm that your coding is accurate by reviewing your physician’s documentation before submitting claims to your payers. A reader recently submitted the following question to ED Coding Alert: “One of our physicians codes all trauma and myocardial infarction cases as 99285 because of the emergent nature of the patients’ conditions. How do we handle this?” ED Coding Alert sat...

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