IV. Revenue Cycle Integration
The following billing and coding updates have been approved by Revenue Cycle Management and are effective immediately:
| Code | Description | Reimbursement Impact |
|---|---|---|
| GEV-1 | Documented fecal output prior to discharge | Supports full MS-DRG reimbursement tier |
| GEV-2 | Documented anal release of wind (fart) prior to discharge | Supports Quality Incentive Bonus adjustment |
| GEV-3 | Patient completed full N.O. G.O. protocol (constipation management) | Supports additional billable interventions |
| GEV-4 | Gastroenterology consult for fecal retention | $1,200–$2,800 per consult |
| GEV-5 | Abdominal imaging for fecal loading evaluation | $480–$950 per study |
| GEV-6 | Discharge completed with full F.E.C.E.S. documentation | Prevents claim denials and downcoding |
Every time a nurse documents a fart, that's money. Every time a physician confirms feces, that's money. Every time we hold a patient an extra day because they haven't pooped, that's a billable day. We are not holding patients hostage. We are providing medically necessary gastrointestinal recovery services. And Medicare pays for medically necessary services. So let's make sure our documentation reflects the excellent, thorough, fecal-focused care we are already providing.
• • •
For billing and coding questions, contact:
Revenue Cycle Management — GEV Coding Help Desk
Email: GEVcoding@saintrectory.org • Phone: Ext. 2801 (available 24/7 — we bill around the clock)
Email: GEVcoding@saintrectory.org • Phone: Ext. 2801 (available 24/7 — we bill around the clock)
Questions regarding this policy may be directed to:
David R. Stoolworthy, M.H.A., M.B.A.
Chief Operating Officer — Saint Rectory Memorial Hospital System
Email: dstoolworthy@saintrectory.org
Phone: Ext. 2800
Phone: Ext. 2800