tci ED Coding & Reimbursement Alert - 2003 Issue 4

Sobering News: Strategies for Alcohol and Drug Intoxication

Alcohol and drug intoxication have caused enough damage to your patients don't let these coded diagnoses block reimbursement for your ED. What you don't know could hurt reimbursement rates. So watch out: Your payers may have a provision that allows them to deny claims with alcohol and drug codes. Health insurance policies sometimes deny medical reimbursement to patients under the influence of drugs or alcohol, states a Wall Street Journal article printed Feb. 26, 2003, "Why Emergency Rooms Rarely Test Trauma Patients for Alcohol, Drugs." These policies, based on state insurance laws, keep some physicians from running drug...

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