Health Information Management

Pay-per-view: Ensure accurate reporting and coding of critical care

APCs Insider, October 26, 2012

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When the AMA revised the instructions for reporting ancillary services with critical care in 2011, facilities knew they wouldn't see an immediate increase in ­payment. CMS determines payment amounts through use of claims data from two years earlier, meaning the earliest facilities could expect additional reimbursement is 2013.

However, when CMS reviewed the 2011 claims data, it found no change in the costs/charges related to CPT® codes 99291 (critical care, evaluation and ­management of the critically ill or critically injured patient; first 30-74  minutes) and 99292 (critical care, evaluation and management of the critically ill or critically injured ­patient; each additional 30 minutes). The claims also failed to show a significant increase in the ancillary ­services reported on these claims.
 
Continue reading “Ensure accurate reporting and coding of critical care” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the October issue.



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