tci Part B Insider - 2015 Issue 24

Reader Questions: Confront Potential Coding Discrepancies

Question: We disagree with our emergency physician’s documented level of care for one of his critical care patients. The physician documented critical care time minutes, but upon review of the medical record, we don’t think the patient’s condition warrants this level of care or meets the requirements for administering critical care. We want to code the report as a level five E/M service. Any suggestions as to whether we can, or should, code for a different service than the physician chose to perform? Answer: If you have good cause to question the necessity or length of...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.