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tci ED Coding & Reimbursement Alert - 2003 Issue 6

Weigh In on the EKG Battle: Do Your Part

Your job is to ensure your physicians get paid fairly. When you report EKG interpretations for the ED, you should be aware of the controversy surrounding diagnostic test interpretation payment and do what you can to help.When facing EKG denials, remember that ED physicians are "entitled" to payment for initial, contemporaneous interpretations, says Susan Reese, CPC, CCP, director of coding and compliance for Mediphase in San Antonio. These interpretations contribute directly to the patient's treatment. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), however, requires a random sampling of over-reads done by cardiologists, and some facilities mandate...

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