tci ED Coding & Reimbursement Alert - 2012 Issue 11

Concurrent Care: Who Gets Credit For Simultaneous Critical Care Services?

Watch the documentation of minutes carefully when multiple providers are involved with critical care on the same patientWhen two physicians provide care to the same patient in the emergency department, documentation of medical necessity and time will determine if both will get paid. When one provider performs cognitive E/M services and another performs a procedure, payment issues are relatively rare. On the other hand, when two physicians provide E/M services during the same ED visit, watch out for claim scrubber errors and payer denials, says Betty Ann Price, BSN, RN President and CEO of PRCS, Inc. in Palmetto, Florida...

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