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        New Message Board Archives >> 2007 General Board Posts >> $25 for after hour ED services
        
(Message started by: cynjeep89 on Nov 28^th, 2007, 6:19pm)

Title: $25 for after hour ED services
Post by cynjeep89 on Nov 28^th, 2007, 6:19pm

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!

Title: Re: $25 for after hour ED services
Post by Jimi on Nov 28^th, 2007, 6:21pm

Oh. I thought it was about erectile dysfuction..............Nevermind..............forget I posted.

Title: Re: $25 for after hour ED services
Post by Rosybabe on Nov 28^th, 2007, 6:23pm

something else to add to the bill ::)

Title: Re: $25 for after hour ED services
Post by cynjeep89 on Nov 28^th, 2007, 6:29pm

No Jim. That code would be:

54400 - Insertion of penile prosthesis 8)

Title: Re: $25 for after hour ED services
Post by artonio7 on Nov 28^th, 2007, 6:29pm

Does that count if you should die waiting to get treatment?

with warm regards,
Tony

Title: Re: $25 for after hour ED services
Post by cynjeep89 on Nov 28^th, 2007, 6:34pm

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.

Title: Re: $25 for after hour ED services
Post by Redd on Nov 28^th, 2007, 6:40pm

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???

::)

Title: Re: $25 for after hour ED services
Post by cynjeep89 on Nov 28^th, 2007, 6:50pm

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 $$.

Title: Re: $25 for after hour ED services
Post by purpleydog on Nov 28^th, 2007, 6:56pm

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. ;;D

Title: Re: $25 for after hour ED services
Post by Charlie on Nov 28^th, 2007, 7:27pm

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

Title: Re: $25 for after hour ED services
Post by nani on Nov 28^th, 2007, 7:30pm

on 11/28/07 at 18:21:09, Jimi wrote:

Oh. I thought it was about erectile dysfuction..............Nevermind..............forget I posted.

LMAO...that's what I thought, too. Then I was thinking what exactly does $25 get for ED?

Face it, Jimi...we is old.

Title: Re: $25 for after hour ED services
Post by cash5542 on Nov 28^th, 2007, 10:37pm

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

Title: Re: $25 for after hour ED services
Post by cynjeep89 on Nov 30^th, 2007, 2:43pm

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.

Title: Re: $25 for after hour ED services
Post by Maffumatt on Nov 30^th, 2007, 6:00pm