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Updated: Jul 10, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Getting a charge out of emergency care
Stephen Barton1, Michael Bieker
1Ernst & Young, LLP, Portland, Ore., USA. stephen.barton@ey.com
Hospitals can improve emergency department (ED) charge capture by using a standardized one-page form and a formal protocol. Providing coders with dedicated workspace enhances accuracy and supports clinical staff.
Area of Science:
- Healthcare Administration
- Medical Billing and Coding
- Emergency Medicine Operations
Background:
- Effective charge capture is crucial for hospital revenue cycles.
- Emergency department (ED) nurses face challenges in accurately documenting billable services.
- Inconsistent charge capture can lead to financial losses and compliance issues.
Purpose of the Study:
- To propose strategies for improving charge capture accuracy in the ED.
- To enhance the efficiency of billing processes for ED services.
- To support ED nurses and coding staff in charge capture.
Main Methods:
- Review of current ED charge capture practices.
- Development of recommendations for process improvement.
- Analysis of workflow integration for coding staff.
Main Results:
- A one-page form with selectable charges can streamline data entry.
- A formal protocol ensures consistent assignment of ED visit charges.
- Co-location of coders within the ED facilitates real-time support and training.
Conclusions:
- Implementing a standardized form and protocol improves ED charge capture.
- Integrating coders into the ED workflow enhances communication and documentation quality.
- These strategies contribute to more accurate and efficient healthcare financial management.
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