Providers, Payers In Ongoing “Tug-of-War” Over ED Coding, Study Says

RevCycle Intelligence December 8, 2022
Jacqueline LaPointe

ED coding may be contributing to a significant increase in high-intensity billing for emergency care services as a new study finds only about half of that increase was expected.

There has been a significant increase in high-intensity billing for emergency care services over the last decade, according to a new study published in Health Affairs.

The observational study of US treat-and-release emergency department (ED) visits using data from the Nationwide Emergency Department Sample found that the share of these visits with high-intensity billing rose from just 4.8 percent in 2006 to 19.2 percent by 2019.

The study’s authors expected about half of the increase in high-intensity billing for treat-and-release ED visits considering the data showed, during the study’s timeframe,...

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