E/M Coding Alert - 2008 Issue 10
Overlapping Time Usually a No-No on Critical Care
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Article Overview
This article reviews Medicare-oriented guidance on concurrent critical care billing and the circumstances in which more than one physician may be involved in care on the same calendar date. It is aimed at physicians, emergency department clinicians, coders, and billing staff who need a general understanding of critical care reporting rules, CMS transmittals, and manual-based requirements without delving into the premium article’s full detail.
Why This Topic Matters
Concurrent critical care situations can create claim overlaps and compliance questions, especially when physicians from different specialties are involved. Understanding the broad Medicare framework helps practices recognize when additional review of the full guidance is needed.
Article Sections
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Concurrent critical care coding
Introduces the general issue of overlapping critical care services and the concern about duplicative reporting on the same date.
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Check Manual for Concurrent Care Guidelines
Summarizes the Medicare policy sources referenced in the article and the need to consult official guidance for concurrent care situations.
What You Will Learn
- How concurrent critical care is discussed in the context of Medicare billing
- Why overlapping physician services on the same date require careful review
- Which official Medicare policy sources are referenced for concurrent care guidance
- How the article frames the role of specialty differences in critical care situations
Who Should Read This
- Emergency department physicians
- Specialty physicians
- Medical coders
- Billing staff
- Compliance teams
Codes Discussed
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