tci Part B Insider - 2014 Issue 15

Part B Mythbuster: Can You Report Critical Care Time Outside the ICU?

The answer to this commonly-held belief may surprise you. Your physician performs CPR for a non-responsive patient in the observation care unit of the hospital, where he attends to the patient for 30 minutes, and the patient is later moved to the ICU, where your physician sees her for another 75 minutes evaluating her need for a mechanical ventilator, feeding tube and accompanying sedation while she stabilizes. Your physician bills for 70 minutes of critical care services, right? Wrong. Myth: Although many physicians believe they can only report critical care services for patients who are in the hospital’s...

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