I know, I know .... Billing is boring! I was recently volunteered to become a member of a committee at work whose aim is to revamp our nursing billing (or technical billing) charges. We believe that our current system of billing is not user friendly and we may be missing charges. I was looking for input from my fellow ED nurses as to how you bill for your services. At this point we use # of specimens, # of meds, ancillary departments used, and few other things such as education and nurse assessment to decide level of care and then pick from a list of procedures/equipment (moderate sedation, splinting, cath, etc) that can be charged for. It's not pretty. Can anyone give me a rundown of your procedure or template? Thanks in advance!