tci Part B Insider - 2013 Issue 20

Part B Mythbuster: Bust These 2 Critical Care Myths to Maximize Your Income

Here’s what you need to have when reporting critical care to Part B payers. If you meet two important critical care requirements in the time and documentation departments, your claim will succeed even if the physician is not in the emergency department or other critical care area. Myth 1: You Can Only Provide Critical Care in the Emergency Room If you think that your physician has to be in an emergency department (ED) or other critical care area, you may be missing out on well-deserved reimbursement for codes 99291 and +99292. In reality, a physician can provide critical...

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