Reimbursement

Preparing for Payer Audits

Information paper of how to Prepare for Payer Audits.

Top 20 ED Codes
This chart lists the 20 most often services provided in the ED along with their 2011 Medicare RVU allocations.

Reimbursement and Coding Update for 2013
Several factors will impact emergency physician reimbursement for 2013, and many important coding updates have been made that impact emergency department procedures.

Remember to Use the Fair Health Discount Code
ACEP has arranged for its members to receive a 20% discount on the FH Fee Estimator, a new source of independent charge data from private insurance claims.

 
Medicare 2011 E/M Frequency Distributions

FAQ on Reimbursement and Coding Updated

Revisions to the CPT and ICD 9 codes always spark a few questions. ACEP has updated its FAQs in reimbursement reflect changes for 2013.  Visit the FAQs section to view the updated lists .

Reimbursement Pearls 
These are short tips, typically between 50 and 150 words, you can use to quickly learn coding and documentation rules to maximize your payment for the services you provide.

Templated Letters for Appealing Denied Claims - These letters have been prepared to assist in appealing some of the most common denials experienced by emergency medicine practices.

The Fundamentals of Reimbursement: What Every Graduating Resident Should Know Before Starting Practice 

Billing Hassles Log - Provides a mechanism for practices to report denials from payers on processed claims.