lgrennan
Contributor
I have a ER doc with this question?
The patient in question was a rescue one from Hospital A by helicopter that had to stop in the ED awaiting cath lab (it was 3 in the morning and they weren't ready and the patient got worse on the flight). The documentation was done in a short time and arguably any money the ED gets for this patient is good -- he turned out to be an ED to ED transfer so I doubt we will get any money.
My interest was in doing what was best for the patient as far as his heart care and not in getting paid for it. I feel/felt that he got way more documentation then he needed since he was never supposed to stop in the ED! How about some guidelines on cases like this where the patient was not supposed to stop in the ED and has to for good pt care?
I feel they should get paid for the high level of care/risk. If 30 minutes of CC time doesn't apply then E/M for sure. Any suggestions?
The patient in question was a rescue one from Hospital A by helicopter that had to stop in the ED awaiting cath lab (it was 3 in the morning and they weren't ready and the patient got worse on the flight). The documentation was done in a short time and arguably any money the ED gets for this patient is good -- he turned out to be an ED to ED transfer so I doubt we will get any money.
My interest was in doing what was best for the patient as far as his heart care and not in getting paid for it. I feel/felt that he got way more documentation then he needed since he was never supposed to stop in the ED! How about some guidelines on cases like this where the patient was not supposed to stop in the ED and has to for good pt care?
I feel they should get paid for the high level of care/risk. If 30 minutes of CC time doesn't apply then E/M for sure. Any suggestions?