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ED Coding and Reimbursement Alert

Reader Question:

Check Two CPT Chapters to Code For A FAST Exam

Published on Tue Aug 23, 2016

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ED Coding and Reimbursement Alert

ICD-10:
Grace Period Expected to End in Oct. 2016, So Be Ready
Check out these new ED-related 2017 ICD-10 updates for emergency medicine The freeze on new [...]

Compliance:
Recent Supreme Court Ruling Expands Reach of the False Claim Act
Does an improper licensed provider submission constitute a false claim under the law? The US [...]

2017 NPRM:
CMS Is Looking at the Values for Zero-Day Global Codes Billed with an E/M Service
Wound repairs, eye FBRs and intubation procedures are among the common ED procedures under consideration [...]

Common ED Services Found In TABLE 7 from the 2017 Proposed Rule:
0-day Global Services Typically Billed with an E/M Service with Modifier 25
Repair Codes 12001 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk [...]

You Be the Coder:
Review the Rules Before Assigning Laceration Repairs and Moderate Sedation Codes
Question: I am having trouble with the chart below. What codes should I use to report [...]

Reader Question:
Check Medical Necessity, Calendar for ED Observation Services that Transcend Midnight
Question: We have a patient that presented to the ED at 10 pm on day one [...]

Reader Question:
Don't Cast Too Wide a Net on "Incident To" Cast Applications
Question: A 60 year-old presents to the ED and is found to have a fracture of [...]

Reader Question:
Check Two CPT Chapters to Code For A FAST Exam
Question: I have a chart that indicates that the ED physician treated a patient with contusions [...]

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