tci ED Coding & Reimbursement Alert - 2005 Issue 10

Score Needed Documentation For Critical Care Codes

Know what to ask the doctor for improved 99291 claims Coming up short when coding for critical care services (99291 and 99292)? More often than not, the culprit is insufficient documentation. Keeping exact track of time and resources expended - often difficult in your standard ED - is essential to correct critical care claims. "We see cases that could be critical care yet can't be billed, because the time is missed or the documentation just isn't enough to support the selection of the critical care code," says Caral Edelberg, CPC, CCS-P, president, chief executive officer and founder of...

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