Compliance Alert: Key 2025 Regulatory Changes Impacting ED Billing
Emergency Department (ED) billing professionals are entering 2025 with new challenges—and opportunities. As healthcare regulations continue to evolve, staying informed is crucial to maintaining compliance, reducing denials, and ensuring timely reimbursements. These changes are especially important for those involved in emergency room billing , where accurate coding and documentation can directly impact revenue cycle performance. In this Compliance Alert, we break down the most significant regulatory changes in 2025 that are directly affecting ED billing operations. From revised CPT code updates and payer-specific documentation rules to changing requirements around telehealth and medical necessity, there’s a lot to watch. What’s New in 2025? Here are a few critical updates ED billing teams need to address: ✅ ICD-10 & CPT Code Revisions – New codes for trauma care, behavioral health, and expanded telehealth services are now in effect. Incorrect usage can lead to claim r...