tci ED Coding & Reimbursement Alert - 2000 Issue 3

Maintain Reimbursement for Critical Care Services

Emergency department (ED) physicians must provide careful documentation of the critical care services they provide if they expect to see adequate reimbursement. In the wake of CPT 2000s expanded definition of what constitutes provision of critical care, the Health Care Financing Administration (HCFA) reduced the number of relative value units (RVUs) assigned to these codes (99291-99292) in their 2000 physician fee schedule. (See the insert, HCFA Update, included with the November 1999 ED Coding Alert.) Medicare obviously thinks critical care will be utilized to a greater degree with the new guidelines. That is why they have decreased the...

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