CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

Coding Critical Care Services

Recorded January 17, 2019

In the 2018 Comprehensive Error Rate Testing report, critical care services had a 19.7% error rate, and within those claims, 39.8% were denied for insufficient documentation. Critical care codes 99291 and 99292 carry high relative value units, and have a corresponding high payment rate.

This webinar will describe the CPT® and CMS rules for reporting critical care, including the key differences between them. For surgical specialties, critical care in the pre-operative and post-operative period must also meet the requirements for global surgical procedures.

This webinar will include examples of the type of conditions that do and don’t warrant critical care billing, and will describe the documentation that support billing for critical care.

After the webinar, participants will be able to:

  • Identify diagnostic conditions that warrant critical care billing
  • Describe one key difference in CPT® and CMS rules for critical care
  • Select the codes based on time documented
  • Apply global surgical payment rules to critical care notes
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Relevant Search Terms: Coding for critical care services, critical care services, global period, CMS critical care rules, CPT® critical care rules, billing for critical care services

- Betsy Nicoletti
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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.