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close this bookData Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)
close this folderSECTION 3 - ED PAYMENT DATA
View the document3.01 INSURANCE COVERAGE OR OTHER EXPECTED SOURCE OF PAYMENT
View the document3.02 INSURANCE COMPANY
View the document3.03 INSURANCE COMPANY ADDRESS
View the document3.04 INSURANCE PLAN TYPE
View the document3.05 INSURANCE POLICY ID
View the document3.06 ED PAYMENT AUTHORIZATION REQUIREMENT
View the document3.08 DATE/TIME OF ED PAYMENT AUTHORIZATION ATTEMPT
View the document3.09 ED PAYMENT AUTHORIZATION DECISION
View the document3.10 DATE/TIME OF ED PAYMENT AUTHORIZATION DECISION
View the document3.11 ENTITY CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.12 ED PAYMENT AUTHORIZATION CODE
View the document3.13 PERSON CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.14 TELEPHONE NUMBER OF ENTITY OR PERSON CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.15 TOTAL ED FACILITY CHARGES
View the document3.16 TOTAL ED PROFESSIONAL FEES

3.15 TOTAL ED FACILITY CHARGES

Definition

Total facility charges billed for this ED visit.

Uses

Data on total ED facility charges are used for reimbursement purposes and for health care financing research. Bills submitted to ED patients who are hospitalized do not always specify the ED portion of the charges. Maintaining a specific record of charges incurred during the ED visit allows facilities to track these charges separately.

Discussion

This data element includes charges for facility overhead, nursing care, medications, supplies, and the facility portion of diagnostic tests. It excludes all professional fees, such as those charged by the attending emergency physician, advanced practice nurse (e.g., clinical nurse specialist, nurse practitioner), physician assistant, radiologist, pathologist, and ED consultant. ED patient records usually do not include data on charges. However, in many ED settings, information on facility charges can be obtained from billing records.

Data Type (and Field Length)

MO - money (12).

Repetition

No.

Field Values

Enter the total facility charges to the nearest dollar amount.

Component 1 is the monetary amount.
Component 2 is the currency type.

Example:

Component 1 = 150
Component 2 = USD

Data Standards or Guidelines

None.

Other References

1984 Revision of the Uniform Hospital Discharge Data Set (Health Information Policy Council, 1985), Report on the Uniform Ambulatory Care Data Set (National Committee on Vital and Health Statistics, 1990), Uniform Bill-92 (National Uniform Billing Committee, 1996), Carriers Manual, L 2010, Health Insurance Claim Form HCFA 1500 (Health Care Financing Administration, 1996), and Core Health Data Elements (National Committee on Vital and Health Statistics, 1996).