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Thread: ED facility billing help

  1. #1
    Join Date
    Apr 2007
    Canton, NY

    Default ED facility billing help

    AAPC: Back to School
    Hi everyone,
    Our ED is looking to see if anyone has built or used a template type of form to build or establish facility E&M codes that they would be willing to share. We think that we may be undercoding and would like to find a better template for facility billing. Also, are there any reports on the facility side that compare ED E&M codes such as the one that the government does for the physician with the average percentage of 99285's 99284's, 99283's etc.


  2. #2


    all that we use are the ACEP guidelines.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    We developed a point system to use in the ER which is very close to one that was propsed early on by CMS.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4


    We use the point system and have found that it works better the ACEP system.
    The Director of the ER nursing developmental it and I would be happy to e-mail you a copy
    Please e-mail at rfitzgerld@yahoo.com
    Good Luck
    Robin Ingalls-Fitzgerald CCS, CPC, FCS, CEMC, CEDC

  5. #5


    Our hospital developed a template to use. We tried the point system and it took too long and did not give a consistant Facility Level when the same chart was given to 5 different coder. We ended up with several different Levels. The template we use is a combination of the ACEP and examples of what might be expected to fall in each area. With a Mock RAC audit we scored consistantly with what the auditor did. I will be glad to share it with you just shoot me an email to nancy.buchanan@sjmc.org.

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