tci E/M Coding Alert - 2023 Issue Q4

ED Encounters: Beware Miscoding Complexity in the ED

Hint: Don’t lean on H&P documentation for leveling. Patients that report to the emergency department (ED) for treatment are nearly certain to receive an ED E/M service. When this occurs, there are several areas of concern that could trip up your coding. Find out what coders and clinicians need to know to nail down ED E/M claims, from expert Lori A. Cox, MBA, CPC, CPMA, CPC-I, CEMC CGSC, CHONC, who presented on “Emergency in DC: How to Level E/M Services in the ED” at AAPC’s HEALTHCON 2023. Stay Wary of Lacking Documentation on H&P...

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