tci ED Coding & Reimbursement Alert - 2000 Issue 1

Correctly Coding ED Services and Procedures Avoids COBRA Violations

In addition to choosing the codes to correctly report emergency department (ED) services and procedures, emergency medicine coders also must be alert for violations of federal billing regulations and federal law regarding provision of emergency medical treatment. Sometimes, a dispute over correct coding actually indicates a more serious problem with ED policies and procedures. A recent question from an ED Coding Alert subscriber illustrates the problem:We had a patient with an infected pre-patellar bursa come to the emergency room (ER) per doctors orders for a dressing change that included repacking the wound, writes an emergency physician group practice manager...

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