ED Coding and Reimbursement Alert

Documenting timed services, reporting observation care factor into your audit-busting tactics.
If you are new to facility coding, it can seem like a whole new world. However these professional side coding tips can transfer to assignment of your facility level choice as well.
Contributing to the complexity of managing the coding and billing for the technical (facility) component of an ED visit are a number of factors, including the difference in rules governing how services are described within the same code set, says Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, President of Edelberg Compliance Associates in Baton Rouge, LA.
1. Focus on clinical staff documentation.
Before implementation of the Outpatient Prospective Payment System (OPPS), the primary focus was on physician documentation with less emphasis placed on nursing documentation habits, but that has changed. Now it is important for clinical staff, particularly nursing [...]