Reimbursement

Reimbursement

Emergency physicians face complex reimbursement and coding tasks on top of their clinical duties. Thorough and up to date reimbursement FAQs and guides on coding, documentation and payment will take t...

Member Profile

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

Urgent Care E/M

Corporate Supporters

Leadership Development Program Application

Emergency Physicians Strongly Oppose Insurer Efforts to Deny or Avoid Fair Reimbursement

Moderate Sedation FAQ

Emergency Physician Involvement, Utilization, and Compensation During a Pandemic

Coding and Reimbursement

Interested in ACEP‘s Reimbursement and Coding Conference?

Learning Lounges

Testimonials

Reimbursement Committee

ERISA FAQ

Corporate Supporters

Introduction to ED Coding Schedule

Webinars

Get Your CME Credit

CME Credit Statement

Coding Schedule

Coding Course Descriptions

Reimbursement Schedule

Policies

Who Should Attend

Conference Pricing

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

Wound Repair

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

COVID-19

Protecting Emergency Physician Compensation During Contract Transitions

Incision and Drainage FAQ

Observation Physician Coding FAQ

EMTALA and Prudent Layperson Standard FAQ

Mental Health 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

Personal Finance

Professional Skills

ICD-10 Headache Vignette

ICD-10 Eclampsia Vignette

ICD-10 Fight Bite Vignette

ICD-10 Back Pain Vignette

ICD-10 Pneumonia Vignette

2022 Medicare E/M Frequency Distributions

ICD-10 Chest Pain Vignette

ICD-10 Sepsis Vignette

ICD-10 Resources

ICD-10 Abdominal Pain Vignette

ICD-10 Open Fracture Vignette

Episode-Based Reimbursement

Top 20 ED Reimbursement Codes

Sample Letter for Special Services (CPT 99053)

What Every Graduating Resident Needs To Know About Reimbursement

Sample Letter for Ultrasound Denial with Bundling into E/M

Emergency Medicine and Payment Reform

CMS Final Rule on X-Ray/EKG Interpretations

Sample Letter for Medicare Carrier X-Ray-ECG Interpretation Denial

The Impact of Unreimbursed Care on the Emergency Physician

Medicare Carriers Manual Part 3 - Claims Process Transmittal No. 1566

Reimbursement: Compliance

Reimbursement: Resources

Templated Letters for Appealing Denied Claims

Concurrent Care Denials Sample Letter

Sample Letter for Non-Medicare X-Ray-ECG Interpretation Bundled into Evaluation and Management Code

ED Facility Level Coding Guidelines

CMS (then HCFA) memo regarding X-Ray/EKG Interpretations in the ED

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

Evaluation and Management Documentation Requirements – CMS vs. CPT

Lack of Recognition of CPT Modifier 25 Sample Letter

Reimbursement: Advanced Practice Providers

Reimbursement: Diagnostic Interpretations

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: Documentation Guidelines

Assignment of Benefits Denial Sample Letter

Coding and Reimbursement Pearls

Prudent Layperson Transparency/Bad Insurer Practices

Assignment of Benefits

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

Medical Services Coding

Reimbursement FAQs

Surgical Package FAQ

Cardiopulmonary Resuscitation (CPR) FAQ

Critical Care FAQ

Medical Decision Making And The Marshfield Clinic Scoring Tool FAQ

ED Evaluation and Management Documentation Requirements – CMS vs. CPT

HPI-ROS FAQ

Shared Services

NCCI-CCI FAQ

Orthopedic Fracture / Dislocation Management FAQ

Appealing Denied Claims FAQ

Diagnosis Coding and Sequencing FAQ

Advance Care Planning FAQ

Vascular Access FAQ

Pulse Oximetry Interpretation FAQ

Utilization Review FAQ

Modifier Dictionary FAQ

Recovery Audit Contractor (RAC) FAQ

Observation Care Payments to Hospitals FAQ

Ultrasound FAQ

RBRVS FAQ

Health Care-Acquired & Provider Preventable Conditions FAQ

Behavior Change Intervention FAQ

Scribe FAQ

Nerve Blocks (Digital, Dental, Peripheral, etc.) FAQ

ICD-10 FAQ

Medicare's Hospital Readmission Reduction Program FAQ

APC (Ambulatory Payment Classifications) FAQ

Telemedicine for Medicare Patients FAQ

X-Ray - EKG FAQ

NG Tube FAQ

Teaching Physician Guidelines FAQ

Special Service Code (99053) FAQ

Physician Reimbursement

Medicare, Medicaid & CHIP

1995 Documentation Guidelines FAQ