I have researched the CMS website, specialist websites, and my local MAC ( first coast). I understand that if the time spent in direct care of life threatening situation is documented, the organ system that is in threat is documented, and the care that was provided excluding billable procedures was documented that the visit may qualify for critical care. As long as the medical decision making is considered high. My issue is that with specialties, such as Neurology, the hospitalist sees a lot of consultations with high-risk diagnoses. What resources or tools do you use to determine if a visit is critical care? A huge bulk of these patients have symptoms of or have strokes, or seizures. I know that when a patient is given tPA, monitored for drug therapy, or has emergency surgery they will be considered for critical care. Do you have any helpful resources, tools, or tips for critical care time?