E/M Coding Alert - 2013 Issue 10
Reader Question: What Constitutes Teaching In A Critical Care Scenario?
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Article Overview
This reader Q&A discusses Medicare/CMS guidance on the teaching exclusion within critical care time. It is aimed at physicians, residents, and coding/billing professionals who need a high-level understanding of how CMS describes teaching-related activities in the context of time-based critical care reporting. The article focuses on the relevant transmittal language and the distinction between teaching time and patient-care time.
Why This Topic Matters
Understanding CMS guidance on teaching time helps prevent overcounting critical care time and supports more accurate, compliant reporting.
Article Sections
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Question
A reader asks for clarification about the teaching exclusion in the definition of critical care time and how it applies in a resident-involved scenario.
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Answer
The response summarizes CMS transmittal guidance addressing teaching-related activities and the handling of time in critical care settings.
What You Will Learn
- How CMS addresses teaching time in relation to critical care reporting
- The general distinction between teaching activities and patient-directed critical care time
- Why resident involvement does not automatically exclude all critical care time from reporting consideration
- What type of official guidance is referenced in the discussion
Who Should Read This
- Physicians
- Residents
- Medical coders
- Medical billers
- Compliance staff
- Practice managers
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