bananapeppers Posted November 5, 2015 Share Posted November 5, 2015 One of my full time job requires us to document splints after a tech performs it (put the order in, tech does it, you look at it, document it. There doesn't seem to be an issue since we have techs that do all of the splint work for us. I work at a rural ED part time where I'm "supposed" to do my own splints. Granted, the nurses can do them, but had an issue last week when a nurse told me that I needed "to do my own splints since the ED gets paid more when we do them." I think it was more out of laziness than anything - I spoke to the attending at that time and he thought it was ridiculous as he has never put a splint in the ED. I got an e-mail today from the ER group stating this: "We regularly use Ace bandages, knee Immobilizers air cast and preformed splints as part of the treatment of these patients. The application of these splints is billable in addition to the level of service for the visit. The RVU value of splints is between .5 to 1.5 RVU. For Medicare and Champus patients we must apply our own splints and straps to be able to bill. Other insurers such as BC/BS, Aetna, and Cigna allow a nurse or tech to apply the splint and us to just document the post application Neurovascular exam." Has anyone had issues with this at all? I have not had an issue until I came to work part time in this ED. I don't know of any other docs that do their own splints either - most of them don't have time for all that. Link to comment Share on other sites More sharing options...
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