tci ED Coding & Reimbursement Alert - 1999 Issue 4

Understand the Difference Between Facility Coding and Professional Coding to Resolve Payer Conflicts

Although they are coding for the same ED visits, hospital information coders and emergency physician practice coders rarely speak the same language when it comes to reporting the procedures and services delivered. “Hospital coding and physician coding are two separate worlds,” states Charlene Day, BS, CMA, CMM, practice manager for Team Physicians of Arizona, an emergency medicine practice group in Phoenix, AZ. “It is often very confusing for a hospital coder and a physician coder to even discuss coding, and it’s nearly impossible for health plans to understand the concept—something I am dealing with...

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