Building on the Basics: Billing Essentials with an emphasis on POCUS

Dillon W. Casey, MD
Atrium Health Wake Forest Baptist Emergency Medicine, no disclosures
Joseph C. Byouk, MD
Atrium Health Wake Forest Baptist Emergency Medicine, no disclosures
Joshua Guttman, MD, FRCPC, FAAEM, FACEP
Emory University, no disclosures

The following helped write/update the curriculum itself:

Jacob Schoeneck, MD
Atrium Health Wake Forest Baptist Emergency Medicine, no disclosures
Yue Jay Lin, MD
Mount Sinai, no disclosures

Following the foundational coding curriculum introduced in the last newsletter, we’re thrilled to present Part 2: Billing Essentials, a deep dive into the critical components of the billing process. This segment is tailored to help clinicians understand the intricacies of reimbursement and documentation requirements, with a focus on Emergency Medicine and POCUS applications. Topics include:

• CMS requirements for billing and RVU components
• Breakdown of work RVUs, practice expense RVUs, and malpractice expense RVUs
• Insights into the Conversion Factor and RVU generation
• Updates reflecting the 2023 billing landscape
• EM-specific billing codes (99283, 99284, 99285, 99291)
• Understanding MDM levels (low, moderate, high)
• Navigating ICD-10 for accurate diagnosis coding

This curriculum provides a practical approach to mastering billing in the ever-evolving healthcare environment, ensuring clinicians are equipped to document and bill effectively for POCUS and other services.

Access the full content in this month’s resources, and revisit Part 1 on coding for a complete overview.