How to Mitigate Your ED Reimbursement Risk with These 6 Tips
As health plans and government payors announce more rigorous requirements for Emergency Department (ED) claims, practice executives must be proactive if they expect to be paid properly for services provided. A new level of revenue integrity diligence is essential for all involved in the ED revenue cycle: emergency medicine practices, emergency billing companies and health system executives.
In 2019, several factors will contribute to ED reimbursement risk:
Payor coverage cutbacks for specific diagnosis, procedures and treatments in the ED
First-billed ED claims become patient responsibility under high deductible plans
Emergency medicine often yields an unspecified, non reimbursable diagnosis
To mitigate reimbursement risk, emergency practices should increase their focus on correct documentation, coding and billing of ED claims. New levels of cooperation between emergency medicine groups, billing partners and the hospital revenue cycle are also required to eliminate inefficiencies and ensure proper payment.
This ebook provides six essential steps to improve billing and coding workflow. Download today to mitigate your reimbursement risk.
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