facility charge

  1. A

    Wiki Is this fraud, abuse or common practice?

    I am a new Charge Capture Specialist for the Emergency Department (ED), responsible for processing patient encounters, including observation services. I have a question regarding billing compliance for patients who transition through multiple statuses. My understanding is that when a patient is...
  2. R

    Wiki Facility Critical Care Charging?

    If our nursing staff documents 120 minutes of critical care time, but our physician only documents 35 minutes of critical care time, can we bill facility charges 99291 x 1, 99292 x 2, even though the physician is limited to 99291 x 1?
  3. M

    Wiki Facility Charge and Modifiers

    For a facility charge what modifiers are/are not, if any, allowed to be used? There is some discussion in the office and we are just trying to be sure what is appropriate. Thank you.
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