Decoding Upcoding in the Emergency Department
Dec06

Decoding Upcoding in the Emergency Department

In a webinar from the Center for Health Journalism, Sarah Kliff and Niall Brennan discussed how murky “facility fees” and upcoding practices have contributed to a $3 billion rise in spending on emergency room fees between 2009 and 2015—despite a slight decline in the number of fees billed.

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To Encourage Telehealth, Insurer to Penalize Patients who Rely on Emergency Room Care

Instead of going to the ER, BCBS advises them to use an urgent care clinic—if there is one within 15 miles of their home—or use BCBSGa’s LiveHealth Online telehealth service. But critics of the policy note that laypersons aren’t trained to recognize emergencies on the spot, and that this presents another barrier to care.

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