tci General Surgery Coding Alert - 2004 Issue 3

Identify Critical Care and Receive a Vital Payment Boost

Do you get nervous when claiming critical care? If so, you're not alone. But if you can establish just two points - the potentially life-threatening nature of the patient's condition and that the physician spent at least a half-hour attending exclusively to that patient - critical care coding need not intimidate you. Point 1: Critical Care = a Serious Threat If you're coming up short on critical care coding, most likely your documentation is to blame, says Caral Edelberg, CPC, CCS-P, president, chief executive officer and founder of Medical Management Resources, a TeamHealth Company. "We see cases that...

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