Health Information Management

ED revenue cycle management

Briefings on APCs, April 1, 2008

Editor's note: The following article is an excerpt from a white paper by Malm on ED revenue cycle management. To download the full text, go to ED revenue cycle management has never been more critical than in 2008. With the advent of E/M visit guidelines in the 2008 OPPS final rule, composite APCs for observation services, new HCPCS and revenue codes for trauma activation, and CMS' recent clarification of critical care services, the requirements for coding, billing, and coverage continue to escalate. The skills of physicians, nurses, case managers, HIM, chargemaster staff members, and compliance staff members come into play for optimal revenue cycle management in the ED.

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