In ICD-10
Jan 23rd, 2019
Mandy Roth of Healthcare Leaders asked readers what they expected in the immediate future (2019) in virtual care, and if any trends can be predicted. As a result, three key issues stood out: Growth in virtual care will be spurred on by changes in reimbursement over the coming year. The changes in reimbursement started in ...
In Coding
Jan 17th, 2019
Critical care coding is complex. You need to be certain that documentation supports that the patient has a critical illness or injury. You must be sure that the time reported as critical care does not include separately-billable services. But critical care reporting is truly exceptional for one reason: critical care code 99292 Critical care, evaluation ...
Know CPT® critical care criteria and communicate the documentation rules to providers. Critical care services must meet specific criteria, per CPT® guidelines. But providers don’t necessarily define critical care in the same way CPT® does, and neither will they automatically document to support coding. Coders can help providers by communicating three documentation requirements for reporting ...
In Coding
Apr 26th, 2017
Critical Care services (99291-99292) are time-based, and improper documentation of time is a frequent reason that payers deny payment for these services. Educating providers to document time appropriately will help to maximize reimbursement and reduce additional documentation requests (ADRs). The American Medical Association (AMA) defines critical care as the direct delivery by a physician(s) or ...
In Coding
Jul 26th, 2016
If telehealth is the wave of the future, we’re still in the Dark Ages. The public has an ongoing opportunity to submit requests to the Centers for Medicare & Medicaid Services (CMS) for adding or removing services from the list of Medicare-covered telehealth services. This year, however, CMS is proposing not to add the majority of ...