tci ED Coding & Reimbursement Alert - 2013 Issue 10

Reader Question: What Constitutes Teaching In A Critical Care Scenario?

Question: Some of my docs are stuck on the “teaching” exclusion of the critical care definition.  Has anyone ever defined what teaching is?  I have tried to tell them that the initial presentation by the resident and going over the case and discussing the tests ordered is not teaching.  Any other instruction you could offer would be great.Michigan Subscriber Answer:  CMS Transmittal 1548 does state that in Section E.5, under Inappropriate Use of Time for Payment of Critical Care Services, that “time involved in activities that do not directly contribute to the...

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