tci ED Coding & Reimbursement Alert - 2004 Issue 11

Squash These Critical Care Myths

3 hang-ups could lose you $240 per sessionBefore you decide not to submit a claim for critical care services based on a patient's location or time spent in the ED, read this to find out whether your claim falls prey to a reimbursement falsehood.Myth #1: For us to bill for critical care time, the patient must be in a critical care unit.Real deal: Critical care services aren't specific to a patient's location, but rather a condition that requires a specific type of physician care, says Barbara Cole, BSN, RN, CPC, president of ProTech Reimbursement Services, a national...

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