在实施新文件准则后,评估紧急部门的计费代码分配
Adriana Coleska1, Melissa A Meeker1, Joseph W Kopp2
1Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Journal of the American College of Emergency Physicians open
|February 21, 2025
概括
新的当前程序术语 (CPT) 评估和管理 (E/M) 准则增加了计费水平. 实施后,编码为4级和5级的急诊室访问量增加,而较低级别的急诊室访问量则下降.
科学领域:
- 医疗计费和编码 医疗计费和编码
- 医疗保健政策 医疗保健政策
- 紧急医疗 紧急医疗
背景情况:
- 当前的程序术语 (CPT) 评估和管理 (E/M) 文档准则于2023年1月1日修订.
- 之前的EM指南面临不满,促使改变.
- 这些修订对发票分配的影响以前是未知的.
研究的目的:
- 为了比较在2023年指南变更之前和之后不同计费代码中E/M访问的比例.
- 确定新CPT E/M文档指南对紧急部门 (ED) 发票分配的影响.
主要方法:
- 在5个EDS中对成年患者进行ED访问的回顾性观察分析.
- 从1月1日至3月31日收集的2021年,2022年和2023年的数据.
- 多变量混合效应波桑回归用于比较 E/M 代码分布在指南实施前和之后.
主要成果:
- 实施后观察到,E/M 4级 (RR=1.40) 和 5级 (RR=1.17) 访问的比例显著增加.
- 被编码为E/M级别1,2和3的访问比例显著下降.
- 在重症监护编码中没有发现显著变化;在学术和社区EDS中观察到类似的趋势.
结论:
- 新的CPT E/M文档指南的实施导致了E/M编码水平的整体增加.
- 这些发现缓解了人们对文档变更可能对退款产生负面影响的担忧.
- 该研究提供了证据,证明了E/M指南修订对ED计费实践的现实影响.
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