ED Coding and Reimbursement Alert
How Can I Check Our 99231 Claims?
Random sample reveals patterns If your ED practice repeatedly reports the same subsequent hospital care code, you should perform a chart review to ensure you're accurately coding the visits, coding experts say.
Take a random sampling of charts in which you reported 99231, and on each file you should determine the history, exam and medical decision-making levels and determine whether they meet the requirements for 99232 or 99233, says Laureen Jandroep, OTR, CPC, CCS-P, CPC-H, CCS, director and senior instructor for the CRN Institute, an online coding certification training center.
Helpful hint: If the emergency physician is called to the floor for a very serious problem, consider coding critical care if it's appropriate and the required time thresholds are met. Also, don't forget to code for any separately billable procedures.
ED Coding and Reimbursement Alert
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