Reimbursement
Survey Will Help ACEP Identify Trends in Health Plan Payments for Out-of-Network Services 
ACEP is requesting the assistance of emergency physician billing services to identify whether, perhaps as a result of the new PPACA regulations that went into effect in September 2010, you have experienced significant reductions in the maximum allowable benefit by commercial health plans (HMOs and PPOs) for emergency physician services.
Top 20 ED Codes
This chart lists the 20 most often services provided in the ED along with their 2011 Medicare RVU allocations.
Reimbursement and Coding Updated for 2012
Several factors will impact emergency physician reimbursement for 2012, and many important coding updates have been made that impact emergency department procedures.
The Basics of Reimbursement and Physician Compensation Videos
"The Nuts and Bolts of RVUs and Reimbursement" explains Relative Value Units, how they pertain to reimbursement, and how emergency physicians generate revenue. "Incentive Based Compensation: Show me the Money"reviews the various incentive based compensation structures used in emergency medicine.
Medicare 2009 E/M Frequency Distributions
Reimbursement Basics Webinar
Watch these two one-hour webinars presented by ACEP Reimbursement Director, David McKenzie, CAE, and learn the basics of evaluation and management coding and the reimbursement process for emergency medicine.
In June 2006, the Centers for Medicare & Medicaid Services (CMS) announced that, effective January 2007, the Work Relative Value Units (RVUs) for the five emergency medicine evaluation and management codes would each increase from 8.1% to 60%, or about 25% across the board. While the actual financial impact for each ACEP member depends on several factors, including patient volume, payer mix and frequency distribution, this is good news all around for emergency physicians.
FAQ on Reimbursement and Coding Updated
Revisions to the CPT and ICD 9 codes always spark a few questions. ACEP has updated its FAQs in reimbursement reflect changes for 2012. Visit the FAQs section to view the updated lists .
Reimbursement Pearls
These are short tips, typically between 50 and 150 words, you can use to quickly learn coding and documentation rules to maximize your payment for the services you provide.
Templated Letters for Appealing Denied Claims - These letters have been prepared to assist in appealing some of the most common denials experienced by emergency medicine practices.
The Fundamentals of Reimbursement: What Every Graduating Resident Should Know Before Starting Practice
Billing Hassles Log - Provides a mechanism for practices to report denials from payers on processed claims.