tci Part B Insider - 2020 Issue Q1

Part B Coding Coach: Check the Notes Before Submitting a High-Level ED Code

Keep upcoding to a minimum with this expert advice. The popular E/M code 99285 (Emergency department visit for the evaluation and management of a patient…) continues to be on many claims reviewers’ target lists due to its higher than average error rate. A great way to confirm that your emergency department (ED) coding is accurate — and steer clear of auditors in the process— is to review your physician’s documentation before submitting claims to your payers. A reader recently submitted the following question: “One of our physicians codes all trauma and myocardial infarction cases as 99285...

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