2023 Emergency Medicine Level of Service/Billing Guidelines Overview

[@kayplantin2625]

I’m new to this coding thing and I find that you broke this down easily for people to understand. Thanks

[@40Kungfu]

Thank you, Dr. Graham! I've been looking for more information on the 2023 Emergency Medicine Level of services. Information to help me prepare for my CEDC exam, that was a great video. I'm a Certified Coder and I enjoy coding for the ED. After watching your video, I'm confident with the tools and explanations you provided for each level and category. I'm able to review the MDM Level tools with a lot more clarity and understanding.

[@MeherScholar]

I went to an Urgent Care with one symptom -- a sore throat -- and asked for a flu and strep throat test. I was billed with the code G0383, "Type B Hospital Emergency Department Level 4." (Level 1 is least complex and Level 5 being most complex). When I asked why I was billed with the second-highest level of severity for emergency rooms, they said that performing TWO diagnostic tests (flu and strep) threw it into that category. I would appreciate anyone's throughts, comments or advice.

[@ubergraham]

Hello - this is a hospital/facility fee and has nothing to do with the provider billing code

[@RondaBlume]

Pt came into ER but then left AMA without seeing the provider. The nurse saw patient and was under the care of the nurse(RN) for about 30 minutes- pt had vitals taken and labs drawn! Looking at billing 99281 but struggling to find concrete info on who to bill it to? Provider or Nurse?

[@potassium8]

Thanks for the review!

[@ddavis8866]

If u document my read: "No stemi" or xray negative do you feel thats sufficient for category 2

[@wildfire196833]

Thank you thank you !

[@allisonm7223]

Hypothetical case - In the ED a patient came in with chest pain, they do an extensive a work up (high category for data) but the final diagnosis is muscular skeletal in nature. What would you select for the problem? Would you think that this was a threat to life???

[@ubergraham]

The final diagnosis is irrelevant. It depends entirely on what the physician thinks

[@atifjaleel]

Graham: Thanks for the video. I did want to ask what is the "Epic Tool" you referred to? Is it something the author of the note uses or is it used by whoever is going to do the coding/billing?

[@ubergraham]

The author of the note can use the tool - Epic built it last month

[@atifjaleel]

@@ubergraham How do I use it/get to it? If there someplace I can read more about it?

[@ubergraham]

@@atifjaleel You need to talk with your CMIO. It's free and available as far as I know

[@jenniferadair3259]

Thank you!

[@radhikapandey3704]

Thanks make more videos

[@anisadnani7309]

What tool specifically are you referring to?

[@ubergraham]

Not sure what you mean?

[@garuda007]

​@@ubergraham he meant, youd said early on in your video there's a tool in epic ? What tool were you referring to

[@ubergraham]

@@garuda007 Epic's smartform and LOS calculator tools

[@Anjana.0610]

Thanku

[@sandysandip4428]

Sir neee more sceranrios

[@dhreisch]

THANKS

[@johnsoutdooradventures3293]

Thank you!