BC Advantage - 2008 Issue 8

Critical Care... The New Rules

CMS transmittal 1530 (June 6, 2008) may leave you confused about the revised coding and reimbursement guidelines for critical care and neonatal intensive care visits. Clarifications were given in CMS transmittal 1548 (July 9, 2008), which provided guidance on combining providers' time to meet the threshold for critical care and gave clinical examples that are easier to understand. Medicare reimburses for the following critical care codes:99291 (Critical Care, First Hour, $224.71, fac.) 99292 (Critical Care, addl. 30 minutes $112.74, fac.)9 Keys Revisions to Critical Care PolicyIt is important to familiarize yourself with the following key...

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