Health Information Management

Scheduled versus unscheduled ED care still confusing

APCs Insider, May 23, 2008

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Implement an up-front process to distinguish two types of visits

Questions from the March 18 HCPro audioconference, “Facility E/M Update: Meet CMS’ Latest Coding and Documentation Requirements,” indicate that, operationally, facilities still struggle with scheduled visits in the ED. The topic is a recurring problem because many in the provider community don’t understand which types of services constitute scheduled care in an ED.

“Emergency departments are run by nurses who may not have been educated that the requirement for an emergency department service is that it be episodic care,” says William L. Malm, ND, RN, practice director of revenue cycle management at HCPro, Inc., in Marblehead, MA.

Click here to learn more about scheduled and unscheduled ED care. Briefings on APCs subscribers have free access to this article in the April issue via their online subscriptions.


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