tci Medicare Compliance & Reimbursement - 2007 Issue 26

CRITICAL CARE Here's What You Need When Reporting Critical Care -- And What You Don't

Dodge critical care mistakes by dispelling 2 myths.A physician can provide critical care just about anywhere he meets the patient and provides the service. If you meet two important requirements in the time and documentation departments, your claim will be successful even if the physician is not in the emergency department or other "critical care area." Important: A patient who receives critical care "does not actually have to be in a critical care setting," says Jacquelyn Dodge, receptionist/coder at Eric A. Wingerson, DO, in Idaho Falls, ID. Bottom line: Keep good records, and most payers will...

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