Reimbursement

Electrical Cardioversion

What is the service described by the CPT code 92960 for elective electrical cardioversion? Non-emergent, elective electrical cardioversion as intended by CPT code 92960 describes a synchronized, exte...

Transvenous Pacing FAQ

Thoracotomy FAQ

Pericardiocentesis (Pericardial Aspiration / Pericardial Drain Placement) FAQ

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Endotracheal Intubation FAQs

Thoracostomy FAQ

Lumbar Puncture FAQ

Sample Letter for Ultrasound Denial with Bundling into E/M

Reimbursement

Member Profile

ACEP First Look: CMS Data on Federal IDR Process Under the No Surprises Act

2023 Emergency Department Evaluation and Management Guidelines

ACEP Membership Fuels Legal Victories

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

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Wound Repair

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Billing and Coding for COVID-19 Care

CMS Approves the Use of ED E/M Codes for Telehealth

Coding Guidance for COVID-19

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Emergency Medicine Alternative Payment Models: Frequently Asked Questions

Advocating Against 2021 Medicare Cuts

Acute Unscheduled Care Model

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Medicare Reimbursement for Emergency Physicians

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2023 Medicare E/M Frequency Distributions

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Sample Letter for Special Services (CPT 99053)

What Every Graduating Resident Needs To Know About Reimbursement

Emergency Medicine and Payment Reform

Top 20 ED Reimbursement Codes

Episode-Based Reimbursement

Reimbursement: Advanced Practice Providers

The Impact of Unreimbursed Care on the Emergency Physician

Appeal for Bundling Separately Reportable Procedures with Critical Care Services 99291 Sample Letter

Concurrent Care Denials 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

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)

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

Services Denied Based on ICD-10 Codes Sample Letter

Evaluation and Management Documentation Requirements – CMS vs. CPT

CMS Final Rule on X-Ray/EKG Interpretations

Reimbursement: Compliance

Reimbursement: Diagnostic Interpretations

Templated Letters for Appealing Denied Claims

ED Facility Level Coding Guidelines

Lack of Recognition of CPT Modifier 25 Sample Letter

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

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

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

Reimbursement: Documentation Guidelines

Coding and Reimbursement Pearls

Prudent Layperson Transparency/Bad Insurer Practices

Reimbursement FAQs

Surgical Package FAQ

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Cardiopulmonary Resuscitation (CPR) FAQ

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Medical Decision Making And The Marshfield Clinic Scoring Tool FAQ

ED Evaluation and Management Documentation Requirements – CMS vs. CPT

HPI-ROS FAQ

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

ICD-10 FAQ

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Special Service Code (99053) FAQ

Physician Reimbursement

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1995 Documentation Guidelines FAQ