tci Medicare Compliance & Reimbursement - 2014 Issue 19

Compliance: Distinguish Between Freestanding ED or Urgent Care Before Coding

Not all licensed freestanding EDs are created equal. With state and individual payer guidelines defining reimbursement for freestanding emergency departments, you’ll need to be wary when coding for facilities that are not physically located on a hospital campus. Brush up on your regulatory know-how to improve your coding accuracy. The basics: The term “freestanding emergency department” (FSED) defines a facility that provides on-demand emergency medical care in a setting that is geographically removed from a hospital. The American Hospital Association recently announced there are over 400 free standing emergency departments in the United States, and that number...

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