Results 1 to 2 of 2

Critical Care Payment

  1. #1
    Carolina Coders
    Default Critical Care Payment
    Medical Coding Books
    An interesting reimbursement scenario was brought to my attention today... apparently when CCT services are submitted 99291 by Dr. A and 99292 by Dr. B (same group-aggregate time critical care provided exceeds 74minutes); payers seem to be paying both claims per contracts.

    I have *always* believed that you should combine the time, select the correct code(s) and submit on a single claim under one provider. Now I see evidence that I may be wrong

    To all you CPC-P folks out there, have payment edits changed to allow for this style of reporting these services? If so, this can be of internal interest to physician groups who give "internal credit" for services provided.

    The reimbursement value remains the same.... but I am now very curious. Any takers?

    Charlotte NC
    Vice Chair, AAPCCA Board of Directors

  2. Default critical care under one provider

    I'm trying to locate the information when they decided that we had to bill under one provider for critical care. I know it's there but I can't find it.

    Is there anyone who can help me on this?

    thank you , help much appreciated.


Similar Threads

  1. E&M Critical Care and Subsequent Hospital Care
    By abbyakinleye in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-10-2016, 01:51 PM
  2. Replies: 2
    Last Post: 05-18-2012, 04:01 PM
  3. Replies: 11
    Last Post: 02-21-2011, 11:06 AM
  4. Replies: 4
    Last Post: 10-19-2010, 09:37 AM
  5. Newborn Care and Neonate/Pediatric Critical Care
    By bobbro in forum Pediatrics
    Replies: 1
    Last Post: 03-03-2009, 03:35 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.