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ED Coding and Reimbursement Alert

E/M Coding:

Understand What “Additional Workup Planned” Means to This Payer

Published on Mon Oct 12, 2020

Getting to know UHC’s definition can help you calculate MDM. According to CMS data, about half of ED claims are reported with code 99285 (Emergency department visit for the evaluation and management of a patient...), but that number could be dramatically different for one payer, due to a unilateral interpretation of a medical decision making (MDM) rule that has been [...]
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