Trauma team activation. This topic has come up before in NYTimes articles in this group. I have some concerns and questions about when it could/should be activated. We were billed for a trauma activation fee (G0390). From all of the regulations that I can find, the criteria for a trauma activation fee were not met. “Only patients for whom there has been prehospital notification based on triage information from prehospital caregivers, who meet either local, state or American College of Surgeons field triage criteria, or are delivered by inter-hospital transfers, and are given the appropriate team responses can be billed a trauma activation code.” CMS Manual 160.1 Critical Care Services. This patient was brought in by a parent with no prehospital notification. The way that I read the regs the trauma activation fee was incorrect. Am I reading the regs correctly, or is there something that I am missing. Most web pages dealing with trauma activation fees are either pro-patient (or at least pro-saving the insurance company some money) or are very provider oriented and talk about how to get the most money from the ED department. For a chilling provider oriented look see the following. aterf.org/wp-content/uploads/2013/08/The-Nuts-and-Bolts-of-Trauma-Activation-Fees-by-Deb-Brown.pdf
Posted on: Wed, 15 Oct 2014 22:42:32 +0000
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