Reimbursement
ACEP First Look: CMS Data on Federal IDR Process Under the No Surprises Act
Fair Compensation to Emergency Physicians to Supervise ABEM/AOBEM Board Certified/Eligible Led Teams
2023 Emergency Department Evaluation and Management Guidelines
ACEP Membership Fuels Legal Victories
Leadership Development Program Application
Emergency Physicians Strongly Oppose Insurer Efforts to Deny or Avoid Fair Reimbursement
Emergency Physician Involvement, Utilization, and Compensation During a Pandemic
Interested in ACEP‘s Reimbursement and Coding Conference?
Introduction to ED Coding Schedule
Coding Course Descriptions
Reimbursement & Coding Conferences
Shared/Split Services Sample Letter
Medication Assisted Treatment (MAT) FAQs
2021 Medicare Physician Fee Schedule (PFS) and MACRA Quality Payment Program (QPP) Proposed Rule: ACEP’s First Take
In-Hospital Emergency FAQs
Telehealth in Emergency Departments Post-COVID-19 Public Health Emergency FAQ
Billing and Coding for COVID-19 Care
CMS Approves the Use of ED E/M Codes for Telehealth
Protecting Emergency Physician Compensation During Contract Transitions
Incision and Drainage FAQ
Observation Physician Coding FAQ
EMTALA and Prudent Layperson Standard FAQ
Emergency Medicine Alternative Payment Models: Frequently Asked Questions
Advocating Against 2021 Medicare Cuts
Acute Unscheduled Care Model
Compensated Time for Faculty Academic Administration and Teaching Involvement
ACEP4U: Federal Surprise Billing (Out-of-Network Billing) Advocacy
Medicare Reimbursement for Emergency Physicians
Salary and Benefits Considerations for Emergency Medical Services Professionals
What Every Resident Needs To Know About Reimbursement
Rejected Codes by Payer FAQ
ICD-10 Eclampsia Vignette
ICD-10 Fight Bite Vignette
ICD-10 Back Pain Vignette
ICD-10 Pneumonia Vignette
2019 Medicare E/M Frequency Distributions
ICD-10 Chest Pain Vignette
ICD-10 Abdominal Pain Vignette
ICD-10 Open Fracture Vignette
Episode-Based Reimbursement
Top 20 ED Reimbursement Codes
What Every Graduating Resident Needs To Know About Reimbursement
Sample Letter for Special Services (CPT 99053)
Sample Letter for Ultrasound Denial with Bundling into E/M
Emergency Medicine and Payment Reform
The Impact of Unreimbursed Care on the Emergency Physician
CMS Final Rule on X-Ray/EKG Interpretations
Sample Letter for Medicare Carrier X-Ray-ECG Interpretation Denial
Medicare Carriers Manual Part 3 - Claims Process Transmittal No. 1566
Templated Letters for Appealing Denied Claims
Concurrent Care Denials Sample Letter
Reimbursement: Compliance
ED Facility Level Coding Guidelines
CMS (then HCFA) memo regarding X-Ray/EKG Interpretations in the ED
Sample Letter for Non-Medicare X-Ray-ECG Interpretation Bundled into Evaluation and Management Code
Evaluation and Management Documentation Requirements – CMS vs. CPT
Appeal for Bundling Separately Reportable Procedures with Critical Care Services 99291 Sample Letter
Critical Care Service Denied in the ED Sample Letter
Downcoding of E/M Services Based on ICD-10 Diagnostic Code Sample Letter
Incorrect Coding Audits Sample Letter
Lack of Recognition of CPT Modifier 25 Sample Letter
Sample Appeal Letter for Bundling CPR (CPT code 92950) with ED E&M Services (CPT codes 99281 - 99285)
Sample Appeal Letter for Bundling Splints (CPT codes 29105-29130 and 29505-29515) with ED E&M Services (CPT codes 99281 - 99285)
Services Denied Based on ICD-10 Codes Sample Letter
Reimbursement: Diagnostic Interpretations
Reimbursement: Advanced Practice Providers
Assignment of Benefits Denial Sample Letter
Reimbursement: Documentation Guidelines
Coding and Reimbursement Pearls
Prudent Layperson Transparency/Bad Insurer Practices
Emergency Physician Practice Costs
Fair Payment for Emergency Department Services
Ultrasound Services in the Emergency Department
Fair Coverage When Services Are Mandated
Third-Party Payers and Emergency Medical Care
Compensation Arrangements for Emergency Physicians
Definition of Democracy in Emergency Medicine Practice
Cardiopulmonary Resuscitation (CPR) FAQ
Medical Decision Making And The Marshfield Clinic Scoring Tool FAQ
ED Evaluation and Management Documentation Requirements – CMS vs. CPT
Orthopedic Fracture / Dislocation Management FAQ
Appealing Denied Claims FAQ
Diagnosis Coding and Sequencing FAQ
Advance Care Planning FAQ
Pulse Oximetry Interpretation FAQ
Recovery Audit Contractor (RAC) FAQ
Observation Care Payments to Hospitals FAQ
Health Care-Acquired & Provider Preventable Conditions FAQ
Behavior Change Intervention FAQ
Nerve Blocks (Digital, Dental, Peripheral, etc.) FAQ
Medicare's Hospital Readmission Reduction Program FAQ
APC (Ambulatory Payment Classifications) FAQ
Telemedicine for Medicare Patients FAQ
Teaching Physician Guidelines FAQ
Special Service Code (99053) FAQ
Medicare, Medicaid & CHIP
1995 Documentation Guidelines FAQ
