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ED Coding and Reimbursement Alert

How Is Your Facility Mapping Methodology Holding Up?

Published on Fri May 18, 2012

Take note of these tips from Edelberg to see if you are capturing these common ED interventions
Revisit the content of your ED nursing levels. The higher acuity levels (99284 and 99285) reflect the highest and best resources you provide. If they aren't documented and utilized appropriately by nursing, coding and billing staff, you may be allowing too much revenue to slip away. Have nurses and coding staff take another look at the services that each level supports. Here are some questions to ask to help get you to the right code: Patient scanned? CT scans, Ultrasounds, Doppler, VQ Scans all indicate a higher level of acuity for patients whose chief complaint requires a higher level of ED resources. Patients who require these services often qualify for 99284 level of service or higher. Patients getting IV infusions? Although these services are billed separately, they indicate higher acuity and [...]
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