decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 8 (August)
Don’t report ED and critical care codes when PCPs staff the ED
Subscribe or sign in to view the full article.
Article Overview
This article covers a Medicare clarification about how emergency department and critical care E/M reporting is handled when the same physician provides services on the same date. It also notes the consolidation of Medicare critical care billing guidance into one location in the Claims Processing Manual and the replacement of an earlier transmittal. The piece is relevant to physicians, coders, and billing staff who handle hospital ED and critical care claims.
Why This Topic Matters
It helps coding and billing staff understand a Medicare policy update that affects whether certain hospital ED and critical care services may be reported together on the same date of service.
Article Sections
-
Policy clarification and transmittal update
Explains the Medicare update that consolidated critical care guidance and replaced an earlier transmittal. It frames the issue as a clarification of existing hospital ED and critical care billing policy.
-
Same-day ED and critical care reporting
Summarizes the article’s discussion of same-date emergency department and critical care reporting for hospital settings. It also distinguishes this situation from other same-day E/M and critical care scenarios.
-
Claims Processing Manual reference
Points readers to the manual location where the consolidated Medicare critical care guidance can be found.
What You Will Learn
- How Medicare consolidated its critical care billing guidance
- What types of same-day emergency department and critical care scenarios are discussed
- Where the updated Medicare guidance is located in the Claims Processing Manual
- Which provider and setting situations are addressed by the clarification
Who Should Read This
- Medical coders
- Billing staff
- Primary care physicians
- Hospital revenue cycle staff
- Compliance staff
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com