tci ED Coding & Reimbursement Alert - 2013 Issue 4

Critical Care Resources: Keep These CMS and MAC Critical Care Documentation Guidelines Handy

Ensure you’re following the rules by reviewing these 11 citations and quotes from CMS and MACs on critical care time documentation, provided by Todd Thomas, CPC, CCS-P, President of ERcoder, Inc. in Edmond, OK. 1. CMS Claims Manual 30.6.12 - Critical Care Visits and Neonatal Intensive Care (Codes 99291 - 99292) E. Critical Care Services and Physician Time Critical care is a time- based service, and for each date and encounter entry, the physician’s progress note(s) shall document the total time that critical care services were provided. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c12.pdf 2. CMSMedicare Claims Processing...

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