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Missng ER levels

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Ashpr:
Hi! I'm doing a training and I got this question that I have no idea what to answer. Please help!

In the course of auditing you note a number of ER and facility-based clinic accounts without an E&M code under the 450 and 510 revenue codes respectively.  After successfully validating a number of missing charges, the client asks you to provide them with a general idea of when ER/clinic accounts without these visit level charges would be acceptable.  Within the context of generally accepted best practices across the industry, what overall feedback might you provide them with in terms of indicating scenarios where the absence of such E&M charges would be expected?

Thanks in advance

DMK:
Why are you asking the forum to do your homework?

Michele:
Unfortunately your question doesn't make sense outside of the context of the course you are taking.  We don't mind assisting people with billing issues/questions but helping with specific homework is not really what this forum is about.  One of the problems that we see with most of these courses is that the material is often irrelevant to real world billing which is what I get when I read your question.  I've been in the industry for 25 years and I have never encountered a situation where I would need to know that.  That is what prompted us to build our online course - to teach students what is really needed to be able to have a career in this field.

Best of luck.

Ashpr:
DMK... That was rude!
Yes it is a billing question where ER charges are missing for various reasons, and when you have an ER claim without the ER charge level, that's going to be a rejected claim. so I was asking if someone know another reason for the ER not to be charged. I just wanted to be sure of what I ALREADY answered. that it was this, just in case you didn't and apparently don't know the answer. but Thanks anyway. Specially DMK for being so rude. SMH

The only time an E/M level would not be placed on an account is:
1) the patient leaves the ED with no treatment from the dr
2) if the patient is seen in triage by the nurse and only vitals were taken and they did not go back into the room.

These are the only reasons of where the E/M level does not apply

PMRNC:
With all due respect, she asked you a legit question, it was you that said it was a training question. It's important to your training that you do your own work and research.

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