tci ED Coding & Reimbursement Alert - 2014 Issue 6

Facility Observation Coding: Good News And Bad News: Your Facility Observation Payments Will Increase in 2014, But There's A Catch

Look for higher payment but more packaging of services such as labs in 2014. 2014 brings a large increase in payment for facility observation services although it comes as the cost of some common ED procedures being bundled into that payment. With the two midnight rule controversy directing more scrutiny of  the observation or inpatient admission decision, you’ll want to brush up on all the current rules to be sure you are on the right side of payer audits. The trend: CMS now reimburses hospitals for observation using an “extended assessment and management composite” APC when...

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