You could see less carrier resistance to separate pay for E/M, critical care, according to new HCFA definitions

Article Overview

This article explains a payment and documentation issue involving critical care and office-based evaluation and management services under updated HCFA guidance for 2001. It is aimed at physicians, coders, and billing staff who work with critical care claims, same-day E/M services, and carrier payment policies. The article focuses on the general nature of the definitional change, documentation expectations, and the types of modifiers that may come up in related claims processing.