Online registration for this event is closed.
Please contact learning@hanys.org or call
518-431-7867 if you have questions about the event.
Aetna ED E&M Reimbursement Policy
September 30, 2010
11 a.m. - Noon
This Webconference is for HANYS' members only.
HANYS will host this Webconference to discuss Aetna’s new reimbursement policy for emergency department (ED) care as published in Aetna’s June 2010 OfficeLink Update (see below).
Aetna’s proposed ED E&M reimbursement policy states:
Effective November 15, 2010, payment for facility emergency department services will be based on the level of severity determined by the treating emergency physician. The emergency service evaluation and management (E&M) code billed by the physician will be applied to the corresponding facility bill to determine the appropriate level of payment. Emergency department service evaluation and management codes are represented by the code range of 99281-99285. This policy will not apply to emergency room services that result in inpatient admissions.
In response to the reimbursement change which purports to tie facility reimbursement to the E&M code billed by the treating physician, HANYS and the Multi-State Managed Care Coalition sent a letter to Aetna raising concerns and asked that the rationale behind the pending policy change be explained. Aetna has since responded and agreed to meet with the Coalition to further discuss the policy. In preparation for our meeting with Aetna, HANYS seeks your input to develop a robust response to the points Aetna raised in defense of its ED E&M reimbursement policy.
Who should attend
- Chief Financial Officers
- Directors of Emergency Department
- Directors of Managed Care
- Directors of Patient Accounts
- Directors of Reimbursement
- Legal Counsel
Faculty
Jeffrey Gold, Vice President, Managed Care and Special Counsel
Healthcare Association of New York State
Continuing Education Credits
There are no continuing education credits being offered with this program.
Registration
The registration deadline is September 28. If you have any questions regarding registration, please contact Joan Stewart, Registration Coordinator, at jstewart@hanys.org or at (518) 431-7990.
If you have any questions regarding the program, please contact Danielle Drayer, Director, Managed Care and Associate Counsel, at ddrayer@hanys.org or at (518) 431-7681.
Materials
Program materials and login instructions will be e-mailed to registrants on September 29.
