tci ED Coding & Reimbursement Alert - 2000 Issue 12

News Brief: HHS OIG Targets Critical Care Codes in 2001 Work Plan

The Department of Health and Human Services Office of Inspector General (OIG) has released its work plan for fiscal year 2001. The work plan points out the areas the OIG will be looking at for strict enforcement, including areas it will audit to make sure the billing is correct. New to the work plan is a focus on the following: Critical care codes (99291-99292): Vital to the emergency department (ED), critical care codes (99291, critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes; 99292, each additional 30 minutes) are a new target...

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