tci Medicare Compliance & Reimbursement - 2009 Issue 4

CODING COACH: Affect Your Practice's Bottom Line With Nosebleed Repair Smarts

Coders often under-report their epistaxis claims. If you can't differentiate a complex anterior nosebleed repair from a simple one, you're costing your ED nearly $20 per misidentified claim. Further, coders who cannot discern a reportable nosebleed repair encounter from an E/M will subject the practice to upcoding concerns. Check out these basics for each type of nosebleed repair to nail your coding each time.Consider E/M For Non-Active Nosebleeds If a patient reports to the ED with a nosebleed, and the physician stops the bleeding with basic methods, the coder usually chooses an E/M code,confirms LindaMartien, CPC, CPC-H...

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