Critical Care ?

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I am looking for some help with Critical Care Charging for the facility side of the E.D.
Is it based on physician documentation or nursing assessment time?

Any help,comments, documentation or websites for more info would be a huge help !!!
THANKS!
 

Mojo

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ACEP has info on billing ED facility critical care:
http://www.acep.org/Content.aspx?id=30428

I look for the criticality of the patient (unstable VS, organ impairment/failure), an intervention and at least 30 minutes of care rendered by the nursing/ancillary staff (after subtracting any billed procedural time). It is not uncommon to bill for facility critical care without assigning pro-fee critical care due to the time requirement - less than 30 minutes noted or no time documented.

Here is another article:
http://www.picis.com/news-and-events/~/media/Resource%20Library/Articles/Article_First_Illinois_HFMA_Facility_Coding_for_Critical_Care.ashx
 
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