Emergency Medicine is represented by ACEP. The AMA CPT Advisory Committee, which is comprised of a member from each specialty society, provides guidance to the AMA for annual updates of the codes.
The language of coders is Current Procedural Terminology, or CPT, which has been maintained by the American Medical Association (AMA) since 1966. Similarly, the codes that they generate are the codes used by payers to determine payment – and they see no additional information about the encounter. It is important to be clear in your documentation, as these coders do not make inferences about the care provided. When you generate a chart for a patient encounter, this information is used by coders to assign specific codes. For simplicity, the information has been broken down into the subheadings of Coding and Documentation, as well as Reimbursement and Physician Payment. This paper covers the basics of emergency medicine reimbursement and is designed to prepare you to enter practice. You may have had some exposure to billing and payment issues during your training, but these experiences are often varied if they exist at all. As a resident, you spend many years primarily focused on learning to provide excellent patient care.
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