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Help Critical Care

  1. #1
    Red face Help Critical Care
    Exam Training Packages
    I have a couple of hospitalists who are charging critical care on the same day any rules against this? Any help would be most welcome
    Colleen R Cox CPC

  2. #2
    Location
    Minneapolis MN
    Posts
    84
    Default
    According to WPS Medicare's PHYS022 policy, "More than one physician can provide critical care at another time and be paid if the service meets critical care, is medically necessary, and not duplicative care.
    So, yes, two physicians can provide critical care on one pateint, just not at the same time.

  3. #3
    Location
    Evansville Indiana
    Posts
    451
    Default critical care
    Are they in the same group?

  4. #4
    Smile Thank you
    Its always nice to have some input from other sources. Especially fellow coders.
    Thank you, Colleen

  5. #5
    Default
    To cheermom
    Yes all use same tax id they are hospitalists

  6. #6
    Location
    Evansville Indiana
    Posts
    451
    Default Critical care
    For critical care, Physicians of the same specialty within the same group practice bill and are paid as though they were a single physician (§30.6.5).
    All documented critical care time would be added together and billed appropriately under one physician for that date of service.

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