ER Facility E&M Over-coding
Learn how our policy assesses the resources the hospital used on ER facility Level 4 and 5 E&M claims and renders a decision at the appropriate level.
High-level emergency room (ER) facility evaluation and management (E&M) claims are on the rise. In fact, Cotiviti’s analysis of 45+ payers—including 9 of the top 10 largest—shows a 40% increase in Level 5 facility claims between 2016 and 2021, while Level 3 claims have decreased 27%.
Read our Policy on a Page and learn the benefits and savings our ER Facility E&M Over-coding Policy can deliver to your organization.