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Medicare

Study finds hospitals improperly coding Medicare claims for emergency services

Published in Hospital Law Weekly, July 6th, 2006

Some hospitals are improperly coding Medicare claims for emergency services, according to a study released by American Hospital Directory.

The report, which looks at Medicare claims and payments for hospital emergency services nationwide from 2002 through 2004, explains that accurate Medicare coding is essential to ensure appropriate payment for evaluation and maintenance services.

Medicare implemented the Outpatient Prospective Payment System in 2000. However, the data examined by Paul Shoemaker, president and CEO of American Hospital Directory, and Leatrice Ford, founder and CEO of ConsultCare Partners, showed an increase in the number of visits...

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