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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