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Topic: $25 for after hour ED services (Read 299 times) |
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cynjeep89
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$25 for after hour ED services
« on: Nov 28th, 2007, 6:19pm » |
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Well, I hate to bring you the bad news but if you visit your hospital's emergency room department between the hours of 10:00 PM and 8:00 AM, the hospital may tack an additional charge onto your bill.
We have been instructed to use CPT code, 99053 for "services provided between 10 PM - 8 AM at a 24 hour facility in addition to basic services".
The RVU (relative value unit) for the hospital where I work is $25.
Not all payors will recognize this charge but it still has to be billed.
Here's a link for more info:
http://www.acep.org/practres.aspx?id=30496
Each time I submit this code, I cringe. Just doesn't seem fair!
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Jimi
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Re: $25 for after hour ED services
« Reply #1 on: Nov 28th, 2007, 6:21pm » |
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Oh. I thought it was about erectile dysfuction..............Nevermind..............forget I posted.
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Rosybabe
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Re: $25 for after hour ED services
« Reply #2 on: Nov 28th, 2007, 6:23pm » |
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something else to add to the bill 
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cynjeep89
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Re: $25 for after hour ED services
« Reply #3 on: Nov 28th, 2007, 6:29pm » |
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No Jim. That code would be:
54400 - Insertion of penile prosthesis 
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artonio7
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Re: $25 for after hour ED services
« Reply #4 on: Nov 28th, 2007, 6:29pm » |
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Does that count if you should die waiting to get treatment?
with warm regards,
Tony
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cynjeep89
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Re: $25 for after hour ED services
« Reply #5 on: Nov 28th, 2007, 6:34pm » |
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If you are seen between the hours of 10:00 PM and 8:00 AM, you get slapped with the 99053 code....dead or alive.....we don't discriminate.
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Redd
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Re: $25 for after hour ED services
« Reply #6 on: Nov 28th, 2007, 6:40pm » |
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Ohhh so not only do the Doctors and nurses get paid to be there to Ummmm uhhhhhhh be there, the patient pays a premium if the staff actually has to....WORK?
I should tell that to my HR department.
Carol, hi I just wanted to let you know that I want to alter the terms of my employment slightly. I'll still be here from 8 to 5, you can still pay me my regular wage. However, if I have to perform any work I require a premium of 25 dollars an hour in addition to my base wage.
I think that would go over swimmingly don't you???
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cynjeep89
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Re: $25 for after hour ED services
« Reply #7 on: Nov 28th, 2007, 6:50pm » |
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Redd,
I know. I am not happy about it either but we have to do what we are told to do.
I guess they figure that the emergency dept. staff who work third shift get shift differential pay in addition to their regular pay so the hospitals are trying to recoup that $$.
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purpleydog
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Re: $25 for after hour ED services
« Reply #8 on: Nov 28th, 2007, 6:56pm » |
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I know it's hard to find people who work 3rd shift, but the difference in pay must now be substantial, if they are billing $25.00 per patient. Gotta pay for it somehow.
Pegg, I like your idea. 
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Charlie
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Re: $25 for after hour ED services
« Reply #9 on: Nov 28th, 2007, 7:27pm » |
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I've been paying my hospital $25 a month.....sometimes more toward an old hospital bill that started at close to $2,000. It's down to $775 now. You can do that with my local hospital. I did it years ago as well to a Baltimore hospital that was incredibly nasty to me when I had to use their ER for a gall bladder attack. Cost a a fortune, even in 1983.
Just rambling.....
Charlie
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nani
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Re: $25 for after hour ED services
« Reply #10 on: Nov 28th, 2007, 7:30pm » |
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on Nov 28th, 2007, 6:21pm, Jimi wrote:| Oh. I thought it was about erectile dysfuction..............Nevermind..............forget I posted. |
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LMAO...that's what I thought, too. Then I was thinking what exactly does $25 get for ED?
Face it, Jimi...we is old.
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cash5542
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Re: $25 for after hour ED services
« Reply #11 on: Nov 28th, 2007, 10:37pm » |
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Will insurance pay the additional or will copays now be $25 more? We won't shoot the messenger, Cyn. Thanks for heads up! If we get in before 10pm but aren't discharged until after 10pm, do we pay the extra?
Charlotte
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cynjeep89
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Re: $25 for after hour ED services
« Reply #12 on: Nov 30th, 2007, 2:43pm » |
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Charlotte,
I work on the front end of the billing process so don't see much of how the payors reimburse the hospital.
I don't think the co-pays will increase.
I can't speak for other hospitals as to whether or not they will be billing the 99053 code in addition to the basic service emergency dept codes of 99281 - 99285 or critical care codes, etc.
For us, if you are seen before 10:00 PM and your treatment carries thru past the hours of 10:00 PM, we will not bill the 99053 code.
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Maffumatt
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Re: $25 for after hour ED services
« Reply #13 on: Nov 30th, 2007, 6:00pm » |
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