tci ED Coding & Reimbursement Alert - 2000 Issue 10

Understanding the New Rules Smooths APC Transition

Most hospitals are getting used to the idea of fee-schedule reimbursement for outpatient services, but few are prepared for the imposition of line-item coding on Jan. 1, 2001, according to Caral Edelberg, CPC, CCS-P, president of Medical Management Resources, an emergency department coding consulting firm in Jacksonville, Fla. Although hospitals can bundle now-itemized procedure charges, that loophole ends in a few months and facility revenue will be threatened.How will this affect emergency department (ED) coders? First, they will have to draw on more documentation to assign visit codes. Second, they must learn and use a host of CPT...

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