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  • Acute Care Surgery Billing, Coding and Documentation Series Part 1: Basic Evaluation and Management (E/M), Emergency Department E/M, Prolonged Services, Adult Critical Care Documentation and Coding

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Review
Acute Care Surgery Billing, Coding and Documentation Series Part 1: Basic Evaluation and Management (E/M), Emergency Department E/M, Prolonged Services, Adult Critical Care Documentation and Coding
  1. Thomas Esposito1,
  2. Robert Reed2,
  3. Raeanna C Adams3,
  4. Samir Fakhry4,
  5. Dolores Carey5,
  6. Marie L Crandall6
  1. 1 Constant Care/eICU, OSF HealthCare System, Peoria, Illinois, USA
  2. 2 Indiana University Health, Indianapolis, Indiana, USA
  3. 3 Department of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
  4. 4 Department of Surgery, HC Healthcare Inc, Nashville, TN, USA
  5. 5 Loyola University Health System, Maywood, Illinois, USA
  6. 6 Department of Surgery, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA
  1. Correspondence to Dr Thomas Esposito; tesposi{at}gmail.com

Abstract

This series of reviews has been produced to assist both the experienced surgeon and coder, as well as those just starting practice that may have little formal training in this area. Understanding this complex system will allow the provider to work ‘smarter, not harder’ and garner the maximum compensation for their work. We hope we have been successful in achieving that goal and that this series will provide useful information and be worth the time invested in reading it by bringing tangible benefits to the efficiency of practice and its reimbursement.

  • critical care
  • health care economics and organizations
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/tsaco-2020-000578

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    Footnotes

    • Contributors All authors have significantly contributed to the content and final editing of this review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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