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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.

Download the ebook


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