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

Article Overview

This article explains increased Medicare audit attention on critical care evaluation and management claims, with emphasis on documentation of time and prepayment review activity by a Medicare contractor. It is relevant to physicians, coders, compliance staff, and revenue cycle teams who work with critical care services and payer documentation requirements. The discussion focuses on audit risk trends, local policy awareness, and the types of claim review activity affecting critical care reporting.