Tag: Emergency Department Coding

Emergency Department coding

Emergency Department Coding: Best Practices and Challenges

Table of Contents The Emergency Department Coding Process Unique Challenges of Emergency Department Coding CPT Documentation Updates and Emergency Department Coding ED Facility Coding and National Standards The Limitations of Final Diagnosis-Based Payment ED Utilization and Evolving Treatment Paradigms The Importance of Emergency Department (ED) Coding in Medical Coding Companies Conclusion Emergency Department coding is […]
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Rules for Coding Emergency Department

CMS Rules for Coding Emergency Department Claims | Best Practices

The Centers for Medicare and Medicaid Services (CMS) has consistently authorized hospitals to establish and utilize their own coding guidelines for emergency department facility claims. CMS makes clear that “[a]s long as the services furnished are documented and medically necessary and the facility is following its own system, which reasonably relates the intensity of hospital […]
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Emergency Claim Denials

How to Approach Emergency Department Claim Denials

By now, many hospitals have received denials for emergency department level-of-care coding. We could legitimately ask, “how did this happen?” Today we shall address how it started, why it’s important, and potential institutional responses. Denials for emergency care are not new. The spectrum of denials and the audacity with which payers deny claims now strains […]
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