tci ED Coding & Reimbursement Alert - 2000 Issue 10

Get Reimbursed When ED Services Overlap Other Departments

Because of the nature of its services, the emergency department (ED) rarely duplicates the efforts of other facility departments. No other medical field routinely sees patients without appointments and handles emergency situations off the street. But when the ED draws on the services of other hospital departments, overlaps occur. Many of these overlaps pose serious coding and billing problems. Coders should be especially careful when billing for test interpretation, evaluation and management (E/M) services, consultations and services provided by multiple physicians. Legally, ED doctors can bill for any service they perform, according to John Turner, MD, PhD, medical director...

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