tci ED Coding & Reimbursement Alert - 2019 Issue Q4

News You Can Use: UHC: $32B Wasted in Treating Conditions in ED That Could Be Seen in Primary Care Offices

10 specific diagnoses drove the overuse of ED services. Your ED is likely to see patients with bronchitis, headaches, and nausea frequently, but one insurer thinks those patients would save the healthcare system a lot of money if they visited primary care physicians instead of emergency departments. That’s the word from a new analysis by UnitedHealth Group, which calculated that the 18 million avoidable ED visits annually add a startling $32 billion to insurers’ costs every year. That’s because the average ED visit costs about 12 times more than a physician office visit and about 10 times...

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