Payer Audit: Emergency Department Encounters

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About this course

This course provides an overview of the emergency department and payer audits. Areas reviewed include documentation requirements, the audit process, and specific coding for the emergency department, evaluation and management, and critical care.


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  • Identify documentation requirements and guidelines to perform an audit for accurate code level and diagnosis selection
  • Analyze the specific emergency department (ED) codes for evaluation and management (E/M) and critical care relevant to the audit process
  • Discuss auditor reviews and the importance of clear documentation to meet medical necessity
  • Learn the audit process and checklist
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