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Bill Dunbar and Associates - Revenue Growth Strategies to Medical Coding Professionals, Hospitals, and Practices throughout the US

Tag Archives: 10 ED Mistakes

10 Common Mistakes Managing Emergency Department Reimbursement and Cash Flow

A list of 10 Common Mistakes Managing Emergency Dept Reimbursement and Cash Flow, and what you can do to fix them

Failing to Compare Providers Coding against a National Benchmark.

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.

Lack of ongoing education for all of your Providers and Staff

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.

Not conducting chart reviews on a regular and consistent basis

The 8th common mistake in managing cash flow is due to the lack of chart reviews / audits.

Not automatically updating your Fee Ticket/Superbill annually

The 7th common mistake occurs as a result of your Fee Tickets / Superbills not being updated on a regular basis.

Choosing and then utilizing the wrong Evaluation and Management guidelines for your ED

The 6th common mistake for revenue capture is relying solely on your EMR to capture the appropriate E/M Level.

Failing to document the length of time used for your time based services

Are you capturing your time based procedure / service codes?

Overlooking to regularly review and update all of your documentation templates

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The 4th common mistake occurs when your documentation templates are no longer capturing all services appropriately.

Failing to consistently educate all members of your ED staff regarding your Point System

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.

Failing to evaluate and adjust your Point System on a systematic basis

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.

E/M level billed by Physician the same as Facility

The #1 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.

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BDA provides ongoing education services to its clients including staff training, physician coaching, and coding support.

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