by Medical Billing | Nov 23, 2016 | Medicare payment basics
Critical care service is a time-based service provided on an hourly or fraction of an hour basis. Payment should not be restricted to a fixed number of hours, a fixed number of physicians, or a fixed number of days, on a per patient basis, for medically necessary...
by Medical Billing | Nov 19, 2016 | Medicare payment basics
The duration of critical care services to be reported is the time the physician spent evaluating, providing care and managing the critically ill or injured patient’s care. That time must be spent at the immediate bedside or elsewhere on the floor or unit so long...
by Medical Billing | Nov 15, 2016 | Medicare payment basics
Examples of patients whose medical condition may not warrant critical care services: 1. Daily management of a patient on chronic ventilator therapy does not meet the criteria for critical care unless the critical care is separately identifiable from the chronic long...
by Medical Billing | Sep 11, 2016 | Medicare payment basics
Critical Care Services Provided by Physicians in Group Practice(s) Medically necessary critical care services provided on the same calendar date to the same patient by physicians representing different medical specialties that are not duplicative services are payable....
by Medical Billing | Sep 8, 2016 | Medicare payment basics
The CPT code 99291 (critical care, first hour) is used to report the services of a physician providing full attention to a critically ill or critically injured patient from 30-74 minutes on a given date. Only one unit of CPT code 99291 may be billed by a physician for...
