ER billing--which level to charge?

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Specializes in er/icu/neuro/trauma/pacu.

need some help, trying to find a web site or better yet the actual requirements per cms or whomever for billing er visits. I need to know what constitiutes a level I charge on up to a levelV charge. We had a paper that was old, old, old, and contradicted itself.

We are not computer charting, and have no outside billing company. ER nurses are supposed to fill out the charge slip:which meds, supplies, monitoring, etc were used and which level er visit to charge. The doc charges are done independantly from facility charges.

Sure appreciate some help and direction. Google search just got me software and billing companies!!

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need some help, trying to find a web site or better yet the actual requirements per cms or whomever for billing er visits. I need to know what constitiutes a level I charge on up to a levelV charge. We had a paper that was old, old, old, and contradicted itself.

We are not computer charting, and have no outside billing company. ER nurses are supposed to fill out the charge slip:which meds, supplies, monitoring, etc were used and which level er visit to charge. The doc charges are done independantly from facility charges.

Sure appreciate some help and direction. Google search just got me software and billing companies!!

What type of charges are you talking about? If you are looking for E&M codes I can help you.

David Carpenter, PA-C

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Specializes in er/icu/neuro/trauma/pacu.

Thanks David--I think the E&M codes are the provider codes, right? Well our docs bill their own fees. We have to charge the er part of the visit.It doesn't matter if a lac is 2cm or 6 cm, it matters how many resources are used. Like a suture, tetorifice and dressing with suture teaching, no xr, no lab would be a level2 on our old ER chg I just need guidelines to be correctly charging and consistently charging from one shift/nurse to another.

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