tci Part B Insider - 2004 Issue 6

Separate but Not Looseleaf

Don't send documentation back just because you're not on the same pageThe biggest misunderstanding many coders and auditors have when dealing with routine electrocardiograms is the idea that the "separately identifiable written report" must be a separate piece of paper, says David McKenzie, director of reimbursement with the American College of Emergency Physicians in Irving, Texas. This report can be contained within the emergency department treatment record, McKenzie says. McKenzie cites a June 1996 letter from Terrence Kay, director of physician services at CMS, to ACEP. In the letter, Kay says there's "no reason why a complete written interpretation...

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