Critical care is a complex service provided to a patient who has vital organ system failure or to prevent further life-threatening deterioration of … [Read more...]
Search Results for: critical care
Critical Care Services
Definition and Explanation of Critical Care Service Definition: Caring for a critically ill or injured patient Explanation: Critical care … [Read more...]
Coding Critical Care Services | Webinar
Critical Care Services Coding Update Recorded January 2023 CMS made significant changes to critical care coding effective in 2022. Not only did … [Read more...]
Critical Care Services Rule | Two physicians billing for same time period
Question: Where does it say in CPT® that two physicians can’t bill for the same period of time when performing critical care? Answer: It … [Read more...]
CPT® and CMS rules for critical care | What’s the difference?
CMS and CPT count critical care time differently. CMS issued a “technical correction” in the 2023 PFS Final Rule. They stated that it is their … [Read more...]
Critical Care
Critical care has high relative value units and payments so it's important to know the coding rules. This video describes when and how to bill for … [Read more...]
Critical Care for General Surgery and Trauma Surgeons
Critical care provided as a stand alone service is based on the seriousness of the patient, the types of interventions, and time. Critical care … [Read more...]
Overview of Medicare telehealth services
Please see the Telemedicine article for the rules and guidelines for use during the COVID-19 public health emergency. Medicare covers some … [Read more...]
Advance Care Planning | CPT® 99497, 99498
Advance Care Planning (ACP) 99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with … [Read more...]
This practice paid Medicare $4.48 million
Do you sign up for email lists and then wonder why you did it? We all do, don’t we? But, one email I always read is from the Department of Justice … [Read more...]
Can I get paid for…care and transfer of sick newborn
Coding. Why does it keep changing? The post you are looking for was out of date, and we removed it. For the most up-to-date information about … [Read more...]
Overview of advance care planning
Advance Care Planning CPT® Codes Overview Medical practices perform countless tasks every day for which there is no payment. CMS continually states … [Read more...]
CMS Teaching Physician Rules Update | Webinar
Let's review the teaching physician rules Recorded February 16, 2023 The teaching physician rules provide payment to an attending physician … [Read more...]
Modifier Update
Modifier update: 2022 Recorded February 17, 2022 CMS released four new modifiers at the end of 2021, and CPT released one. These include … [Read more...]
Coding inpatient pediatric services | Webinar
Recorded May 23, 2019 NOTE: This webinar contains observation services that are deleted effective 1-1-2023. Observation is reported with codes … [Read more...]
Definitive Guide to Documenting Time
This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? In case you … [Read more...]
E/M Expertise: Go Beyond The Basics
Submitting a claim for Evaluation and Management services has two steps. First, the correctcategory of code must be selected; second, the level or … [Read more...]
E/M frequency data for hospitalists
Hospitalists became a recognized specialty by CMS starting in 2017, and we now have frequency E/M data for the specialty. There are probably still … [Read more...]
A Conversation with Two Auditors: Lessons learned about MDM | Webinar
A Conversation with Two Auditors: Lessons Learned about MDM Recorded September 28, 2023 Medical practices can prepare for audits, improve … [Read more...]
Coding for telehealth – Overview
Update: Medicare telehealth payment policies The public health emergency federal designation expired March 11, 2023 However, the end of the … [Read more...]
What’s New in the Proposed Physician Fee Schedule Rule
Proposed Physician Fee Schedule Rule, 2024 CMS issued the Proposed Physician Fee Schedule (PFS) Rule July 13, 2023, with a 60-day comment period. … [Read more...]