tci Part B Insider - 2013 Issue 29

Critical Care: Let Official CMS and MAC Guidance Direct Your Critical Care Coding

Knowing the critical care coding rules and getting your providers to understand them are sometimes two different battles. Help your doctors learn when they can — and can’t — report 99291-+99292 (Critical care, evaluation and management of the critically ill or critically injured patient …) by showing them these 11 quotes from CMS and several individual MACs on critical care time documentation: 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...

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