tci ED Coding & Reimbursement Alert - 2013 Issue 4

Critical Care Strategies: Get Ready for Increased Audit Activity On Critical Care Time

Hot spot: Prepayment edits of evaluation and management (E/M) code 99291. Medicare auditors are starting to look more closely at claims for code 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) with a special focus on the documentation of time spent. Read on to learn the latest. Peruse some of the MAC websites, and you will find notices like this one from First Coast Service Options, says Todd Thomas, CPC, CCS-P, President of ERcoder, Inc. in Edmond, OK. Recent data analysis pertaining to critical care services has identified that First...

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