Abstract
Introduction: Physician reimbursement laws for diagnostic interpretive services require that only those services which are provided contemporaneously and or contribute directly to patient care can be billed for. Despite these regulations, in many hospitals radiologists and cardiologists continue to submit bills for EKG and plain film diagnostic interpretive services which are disconnected in time and place from the ED patient encounter. The reimbursement value of this care which EPs provide and is then systematically redirected to radiologists and cardiologists is unknown.
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