Non-Emergent Care in the Emergency Department

Event Information
Product Format
Prerecorded Event
90 minutes
Product Description

Coding, Billing & Reimbursement for Non-Emergency Care in the ED

Join Duane C. Abbey, Ph.D. for this 60-minute vital event where he'll review the levels and types of services in the ED and differentiate between emergent, urgent and clinical levels of services. This educative session will make you understand the reasons for increasing volumes of urgent and clinical level services in the ED, the increasing needs for fast-tracks and establishment of urgent-care clinics, pressures on Medicare and other third-party payers to create special coding, billing and reimbursement processes for non-emergent care in hospitals’ EDs. Learn  how EMTALA rules and requirements dovetail with non-emergent levels of care.

Also, Duane will examine several case studies illustrating the challenges for non-emergent care in hospitals’ EDs.

Conference Agenda: 

  • Overview of ED Services
    • Emergency Care Including Trauma Services
    • Urgent Care
    • Clinical Services Provided in the ED
  • Growth in Volume of Non-emergent Care
    • Underinsured
    • Uninsured
    • Lack of Accessible Primary Care
  • EMTALA Considerations
    • MSE – Medical Screening Examination
    • Qualifying Nurses for Performing MSEs
  • Hospital Organizational Structuring
    • Fast-Tracks inside EDs
    • Urgent Care Clinics
    • Provider-Based Walk-In Clinics
    • Compliance Concerns
  • Coding and Billing Considerations
    • Use of Emergency Level Codes
    • Use of Clinic Level Codes
    • Chargemaster Construction for Urgent and Clinic Care
  • Predicting the Future
    • Medicare Directions
    • Private Third-Party Payer Approaches
    • Payment System Changes
  • Special Case Studies  
  • Sources for Further Information

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Who should attend? ED Personnel, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Utilization Review Personnel, Internal Audit Staff, Financial Analysts, Compliance Personnel, Physicians, Non-Physician Practitioners and Other Interested Personnel

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
More Events By The Speaker

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Dear Valued Customers


We regret to announce that ProEdTech LLC and all its affiliate brands will cease operations on April 1, 2019.


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