New information for ED trauma coding and charge capture creates confusion
Briefings on APCs, May 1, 2008
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New CMS guidance regarding services included in critical care CPT codes—codes that were commonly believed to be separately billable by the facility—has brought uncertainty to EDs nationwide. HIM directors and outpatient coding staff members must change their approaches to trauma and critical care coding and scrutinize more than seven years of potential noncompliance.
But the basics of ED charge capture remain the same: documentation specificity, staff communication, and an auditing focus on coding for trauma and critical care.
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