tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Part B Coding Coach: Bolster Critical Care Coding With This Primer

Tip: Understand how the CY 2023 MPFS factors into the equation. If you’re still sifting through changes announced in the CY Medicare Physician Fee Schedule (MPFS) final rule, you’re not alone. The rule issued an important clarification on billing for critical care codes — but some critical care basics didn’t change and that’s caused some confusion. Update: While most hospital/inpatient evaluation and management (E/M) services received revised descriptors in 2023, critical care stood fast. The definitions for 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and...

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