Feb 1st, 2014
Accurate reporting requires identifying all procedures performed beyond the initial E/M. By Sarah Todt, RN, CPC, CPMA, CEDC Physicians in the emergency department (ED) very often perform procedures in addition to evaluation and management (E/M) services. Integumentary procedures such as laceration repair, burn treatment, or incision and drainage are common, as are orthopedic procedures such ...
Jun 1st, 2010
By Holly J. Cassano, CPC As a Certified Professional Coder (CPC®) who supports emergency department (ED) physicians, I am often asked how to code appropriately for the physician component of critical care services in the ED. In response, I created these 10 commandments of critical care coding in the emergency room (ER). 1. Thou Shalt ...
Dec 1st, 2008
Here’s what you need to know to stay in compliance. Part 1 of a 2-part series By Elin Baklid-Kunz, MBA, CPC, CCS It’s not easy keeping current with Medicare’s changing critical care services policy. Recent changes include the July 1, Change Request (CR) 5993, which revises the Medicare Claims Processing Manual, Publication 100-04, chapter 12, ...
Feb 1st, 2008
You’re Probably Familiar with Critical Care Codes 99291-99292, But Have You Experienced Coding Intricacies for Pediatric Patients 24 Months of Age or Younger? By Patricia Champion, CPC The same definition for critical care applies to all age groups—adult, child, and neonate. CPT® defines critical care as the direct delivery by a physician of medical care ...
Oct 1st, 2007
By Barbara Aubry, RN, CPC, CHCQM, FAIHQ  Like most coding professionals, when I worked in a coding/auditing position I focused on three things: compliance, accuracy and timeliness. My goal was to make sure claims were accurately coded for each service that the documentation supported and the payer would reimburse. I was not particularly interested in ...