AAPC - Advancing the Business of Healthcare
Home
Resources
Your Emergency Department E/M Questions, Answered

Your Emergency Department E/M Questions, Answered

E-brief

During our recent webinar, "How to Level E/M Services in the Emergency Department," we received numerous audience questions. Lori Cox, MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC, AAPC Director of Client Engagement, addressed those inquiries and provided answers to questions like:   

  • What constitutes critical care? Can this be billed in urgent care? 

  • If a patient is admitted based on hospitalist/internal medicine, does the emergency medicine provider or the hospitalist get credit for Decision for Hospitalization? 

  • How is the ED leveling guidelines applied to services at an urgent care? 

  • To receive credit for an independent interpretation of tests, is the provider required to document the date and name of the test in addition to the summary of the findings? 

  • Can a practitioner use the E/M code in an abusive pattern? If so, how should we know that? 

About the author

Lori Cox

MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC, Regional Director, AAPC Services / Director of Client Engagement, AAPC Services / AAPC /

Lori Cox has over 25 years of experience working in the business side of healthcare. She began her career in patient accounts and then moved into billing and coding for a multispecialty clinic. She was eventually promoted to billing supervisor and then to compliance officer, where she wrote, maintained, and trained employees and providers on fraud and abuse. Currently, Cox works for AAPC Services as Director of Client Engagement, performing audits and education for clients across the U.S. She has spoken at HEALTHCON and regional conferences and has traveled the country educating coders and physicians on complex coding topics such as hem/onc and E/M guidelines. Cox is the past member relations officer for AAPC’s National Advisory Board.

Read More

Fill out the form to read the Q&A eBrief.

Loading...

By filling out this form, you are requesting to be contacted by AAPC. Privacy Policy