tci Medicare Compliance & Reimbursement - 2013 Issue 7

Keep These CMS and MAC Critical Care Documentation Guidelines Handy

Ensure you’re following the rules by reviewing these 11 citations and quotes from the Centers for Medicare & Medicaid Services (CMS) and MACs on critical care time documentation, provided by Todd Thomas, CPC, CCS-P, President of ERcoder,Inc. in Edmond, OK. 1. CMS Claims Manual 30.6.12 - Critical Care Visits and Neonatal Intensive Care (Codes 99291 - 99292) E. Critical Care Services and Physician Time Critical care is a time-based service, and for each date and encounter entry, the physician’s progress note(s) shall document the total time that critical care services were provided. Resource: www...

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