tci ED Coding & Reimbursement Alert - 2008 Issue 10

Reader Questions: Heed These Rules on NPP Critical Care

Question: I have heard that nonphysician practitioners (NPP) in the ED can provide critical care services. I just started coding, and did not know NPPs could report 99291. Are there any special guidelines to observe when an NPP provides critical care? Montana SubscriberAnswer: You-ll have to follow specific reporting rules when an NPP provides part or all of a critical care service or the service could end in denial. Medicare Transmittal 1530 groups all the NPP critical care information into one place for easy reference, confirms Carol Pohlig BSN, RN, CPC, ACS, senior coding and education specialist at the...

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