tci ED Coding & Reimbursement Alert - 2001 Issue 10

Unite Physician and Facility By Using Both Charts When Reporting Services

The abrupt change in coding after the implementation of APCs left many coders bewildered. In some cases, because both physician and facility coding are handled by the same department or coder, the best method for differentiating the two services lies in the documentation process.  APCs now require hospitals to establish and apply consistently an internal system for assigning codes and ensuring adequate documentation and medical necessity of services billed. While some hospitals still code emergency services from the ED physician's documentation, those with coding guidelines specific to the facility side must adhere strictly to these rules. Barbara...

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