tci Medicare Compliance & Reimbursement - 2007 Issue 16

CODING: Don't Let Fear Of Concurrent Billing -- Curtail Your Critical Care

Patient must really be critically ill.Myth: Two providers can't bill for critical care for the same patient during the same time period. Reality: Nothing in the Centers for Medicare & Medicaid Services (CMS) Manual, or other sources, says two or more providers can't bill for concurrent critical care, says Betsy Nicoletti with Medical Practice Consulting in Springfield, VT. You should make sure to consult your local carrier's policies. Some carriers do require that providers must be from different specialties to provide critical care at the same time, says Nicoletti. Often, physicians from different specialties, such as nephrology...

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