tci Medicare Compliance & Reimbursement - 2018 Issue 13

Are Your State's Critical Care Stats Above Average? Find Out

Warning: Critical care is on most MACs’ Targeted Probe and Educate active lists. Benchmarking allows you to check your numbers, ensuring your practice claims are in line with federal standards. If you’re worried about your critical care service claims, you may want to survey your billing rates against those of other providers in your state to get a gauge of where you fit in. Here’s why: Currently, critical care CPT® codes 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and +99292 (Critical care, evaluation and management of the...

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