tci ED Coding & Reimbursement Alert - 1999 Issue 1

Improve Utilization of Critical Care Codes to Increase Reimbursement for Emergency Services

Many ED groups may be missing out on a significant amount of revenue because they are underusing the evaluation and management codes for critical care services (99291-99292).When I talk to physicians, I ask them to estimate what percent of the care they provide is critical care, and, typically, they say 5-10 percent. But, when you look at the billing companies that specialize in emergency medicine, they usually only bill critical care about one percent of the time, observes Betty Ann Price, RN, BSN, CCS-P, president of Professional Reimbursement Strategies, a practice management and reimbursement consulting firm based in...

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