ED Coding and Reimbursement Alert

Freestanding Emergency Centers

Use This Check List to Make Sure You Are In Compliance Before embarking on developing coding policies for a freestanding emergency center, (FECC), you must first determine the following, advises Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, President of Edelberg Compliance Associates in Baton Rouge, LA. Who owns the center? If a physician, has it been certified by the state AND Medicare as a stand-alone FECC and "bonafide" emergency department? If owned by a hospital, does it meet provider based ED requirements? Does it have its own provider agreement and is it open 24/7? Has the center qualified as a FECC through the state certification requirements by meeting all emergency provisions? If so it will be required to EMTALA standards and provide medical screening exams in addition to a long list of requirements for licensing and certification. Has the facility been approved as a provider by Medicare? Typically, physician owned [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

ED Coding and Reimbursement Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.