Member Log in | Become a Member
Jan 01, 10
The most common mistake occurs when your staff believes that the Evaluation and Management [E/M] level billed by the ED Physician must be the same level as that billed by the hospital for the ED Facility.
The 2nd most common mistake is that the Facility Point System is not regularly evaluated to capture all services. A Point System would be a consistent methodology for assigning an ED Facility Level based on the work performed by the ED staff. An interesting fact is, that to this date, there are no national standards for assignment of hospital Facility Levels.
A 3rd common mistake is the inconsistent interpretation of the point system by the staff. Once the Point System is developed, it is imperative for all staff members to accurately and consistently interpret not only how the point system is being used, but also how it was intended to be used.
The 4th common mistake occurs when your documentation templates are no longer capturing all services appropriately.
Are you capturing your time based procedure / service codes?
The 6th common mistake for revenue capture is relying solely on your EMR to capture the appropriate E/M Level.
The 7th common mistake occurs as a result of your Fee Tickets / Superbills not being updated on a regular basis.
The 8th common mistake in managing cash flow is due to the lack of chart reviews / audits.
The 9th common mistake that can impact reimbursement can occur when your provider does not know where he/she falls on a National E/M Benchmark Bell Curve.
The 10th common mistake that will often affect revenue is an ongoing lack of education for all of your Providers and Staff. They should each receive focused instruction as a direct result of ongoing and consistent chart reviews.
Posted in CPT Coding, Electronic Medical Record, Emergency Medicine, Physician's Practice, Whitepapers
Tagged 10 ED Mistakes, bell curve, Cashe Flow, emergency department, Emergency Medicine, fee ticket, medical billing, medical coding, national benchmark, Reimbursement, superbill
« ACEP – American College of Emergency MedicineRevised 2010 ICD-9-CM Updates »
BDA shares its 20+ years experience of documentation and coding with its clients, which often results in increased revenue, improved compliance, and continued growth.
BDA provides its clients with a detailed summary that identifies key coding issues such as invalid, deleted or revised codes and descriptive changes. A customized Action Plan is developed and implemented over the life of the engagement.
© 2012 Bill Dunbar and Associates, LLC., all rights reserved. CDC/NCHS. CPT® is a registered trademark of the American Medical Association
Contact | Site-Map | Search | About | Privacy | Physician Practice | Occupational Health | Emergency Department | Urgent Care
↑ TOP
[...] 10 Common Mistakes Index 10 Common Mistakes Managing Emergency Dept Reimbursement and Cash FlowFailing to evaluate and adjust your Point System on a systematic basisFailing to document the length of time used for your time based servicesLack of ongoing education for all of your Providers and StaffFailing to consistently educate all members of your ED staff regarding your Point SystemNAOHP – National Association of Occupational Health Professionals [...]