Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Emergency Medicine

MedPAC to Recommend National Coding Guidelines for Emergency Departments

The Medicare Payment Advisory Commission may soon be recommending national guidelines for coding emergency department visits after the group discussed options for slowing the growth of emergency department spending during their March meeting. The recommendation would task the Department of Health and Human Services with addressing the shift toward high intensity service levels by 2022. READ MORE

New Requirements for Indiana’s Prescription Drug Monitoring Program, INSPECT, Begin January 1

By Jan. 1, 2019, all Indiana healthcare providers who hold a controlled substance registration (CSR) must register with INSPECT, the state’s prescription drug monitoring program, and practitioners in hospital emergency departments and pain management clinics must begin querying INSPECT when prescribing opioids or benzodiazepines based on legislation passed during the 2018 General Assembly. READ MORE

What Do Higher Levels of Service Say About What’s Happening in the ED?

An 85 percent increase per member in emergency department spending between 2009 and 2015 was the result of hospitals coding and billing for a greater number of high severity cases, according to a 2017 Health Care Cost Institute study. But what does this upward shift in evaluation and management levels say about what’s happening in the ED? READ MORE

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