tci ED Coding & Reimbursement Alert - 2001 Issue 3

Templates Offer a Viable, Accepted Solution to the ED Documentation Challenge

ED physicians who dictate charts often struggle to meet HCFAs evaluation and management (E/M) documentation requirements because they usually miss critical elements that support correct coding. Inadequate documentation is the main reason EDs consistently lose out financially in areas such as critical care (99291, 99292), conscious sedation (99141, 99142), foreign body removals (10120*, 10121) and E/M (99281-99285). Detailed, accurate charting is critical for coding E/M to the highest level. Its also the only way to reflect accurately the physicians efforts an important part of HCFAs E/M level documentation requirements. Heres a costly example: An ED physician spends hours and...

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