Facility
Coding

Increasing accuracy for impact

Facility Coding

Increasing accuracy for impact

Emergency department coding is complex.  Hospitals may struggle to consistently and accurately report the actual services that were provided. The discrepancies in reporting often result in significant revenue differences.

Our care, diligence, and deep understanding of the medical billing climate gives our hospital clients confidence they’ll see while increasing accuracy in reporting and ultimately net revenues for their EDs.

Facility Level Revenue

Hospital Coding & Reimbursement

Our team stays on top of and ensures your hospital stays compliant with the congressionally mandated Outpatient Prospective Payment System (OPPS).

ED Procedure
Coding

There are several hundred procedures performed in the ED, which can be difficult for hospital based coders to master. Your reimbursements are determined by the CPT codes that are reported which lead to the APC assignment.  Our expert team, stays on top of the specific procedures and reporting of the CPT codes. 

E/M Visit
Level Coding

CMS has expanded the number of facility level APCs and created five corresponding payment levels.  Hospitals should report ED visit levels using CPT codes 99281-99285 and Critical Care codes 99291 and 99292.  

Payment for
IV Services

Nurses and mid levels are a large part of revenue capture.  Their documentation of the timing of medication and fluid administration has a direct result on revenue capture.  At Gottlieb, we monitor services and documentation, provide reporting, narrative and training opportunities to help ensure staff are coding and documenting appropriately.

Physician
Education

Physicians can help hospitals to optimize ED revenue.  At Gottlieb, we help you and your team recognize opportunities for improved documentation.  Our unique program provides physicians with the education and resources need which can directly impact revenue performance.  Our program has a proven record of success with risk reduction while increasing revenue. 

Ready to optimize your ED revenue?

We understand the high demands on emergency departments and hospitals.  Hospital management is constantly taxed with managing budgets while providing high quality care and customer satisfaction.  At Gottlieb, we help optimize hospital resources to the benefit of patients, physicians and leadership.

  • High Cost Ancillary Denials
  • Procedures
  • Chargemaster Maintenance
  • Medications
  • Service Codes Changes & Payments
  • Facility Levels

Learn how our expertise in documentation education and feedback can help you!

Gottlieb's insight has been invaluable to our practice. From the narrative provided by our client finance associate to the physician education helping our physicians code better to the managed care negotiation assistance, each area helping drive strong financial management for our group.
Matthew, MD
ED Physician Group
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