tci ED Coding & Reimbursement Alert - 1999 Issue 9

Use Caution When Reporting Nursing Procedures on the ED Physician's Bill

Nurses often perform minor procedures in the Emergency Department under the supervision of the physician. Many coders wonder whether these services can be reported on the physicians bill since he or she ordered the procedure and supervised its performance.The answer in most cases is no.It is a controversial area, although it neednt be, says Gregory L. Schnitzer, RN, CPC, CPC-H, CCS-P, an audit specialist in the Office of Audit and Compliance at the University of Pennsylvania Health System.Many of these procedures, which ED physicians are billing for actually are performed by nurses or other ancillary personnel...

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