Transcription of Medical Coding Best Practices for Emergency Departments
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Medical Coding Best Practices for Emergency Departments
| | 1 | Medical Coding Best Practices for Emergency Departments Medical Coding Best Practices for Emergency Departments 1. 2018 accesshealthcare | All Rights Reserved | | 2 | Medical Coding Best Practices for Emergency Departments Summary Delivering quality care, while ensuring effective clinical documentation and compliant Medical Coding has always been a challenge for healthcare providers. This gets even trickier in Emergency Departments , which are fast-paced environments spread across multiple specialties. Therefore, Emergency Departments present unique Medical Coding and billing challenges. Alongside knowledgeable clinical staff, specialized Medical coders and billers with the requisite experience and strong analytical skills are required to obtain necessary reimbursements. In this paper, we share our perspectives on the unique Medical Coding and billing challenges presented by Emergency Departments and the best Practices to ensure optimal reimbursements.
CMS requires each hospital to establish their own billing guidelines taking into consideration the below general directions as restated by OPPS (Outpatient Prospective Payment System). 1. A hospital may bill an ED level based on the hospital’s own coding guidelines which must reasonably relate to the intensity of hospital resources utilized. 2.
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