tci ED Coding & Reimbursement Alert - 2015 Issue 5
Critical Care: Review These Critical Care Bundling Rules to Ensure Your Code Choices Get Rave Reviews
Strategies get you ready for auditors’ critiques. Critical care coding is often the target of payer audits -- and mistakes can cost you. Because the critical care codes are unlike the other E/M codes in documentation requirements, these can be misunderstood by ED coders unfamiliar with the rules that do apply. Check out these tips on what “critical” actually means and which services are, and are not, bundled into the critical care codes. When Do Insurers Consider A Patient To Be Critically Injured or Ill? Insurers need a clear clinical indication that the patient meets...
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