|Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)|
|SECTION 3 - ED PAYMENT DATA|
Total professional fees billed for this ED visit.
Data on total professional fees 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.
This data element includes fees charged by the attending emergency physician, advanced practice nurse (e.g., clinical nurse specialist, nurse practitioner), physician assistant, radiologist, pathologist, and ED consultant. It excludes charges for facility overhead, nursing care, medications, supplies, and the facility portion of diagnostic tests. ED patient records usually do not include data on charges.
However, in many ED settings, information on charges can be obtained from billing records.
Data Type (and Field Length)
MO - money (12).
Enter the total professional fees to the nearest dollar amount.
Component 1 is the monetary amount.
Component 2 is the currency type.
Component 1 = 200
Component 2 = USD
Data Standards or Guidelines
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).