The error rate is high for critical care services, according to findings from the 2018 Comprehensive Error Rate Testing contractor. Here are a couple pointers to help improve Medicare compliance, says Betsy Nicoletti, a consultant in Northampton, Massachusetts. Contact her at email@example.com.
CMS Rules Related to Critical Care That Are Not CPT Rules
|The first hour (74 minutes) must be provided by one physician, before a second physician may use the add-on code 99292||CPT is silent on this|
|Physicians and nonphysician practitioners may not share critical care time||CPT is silent on this|
|Two physicians may not bill for the same instance of time (8-9 am, for example)||CPT is silent on this|
|One physician may not bill both ED codes 99281-99285 and critical care for the same patient on the same day||CPT is silent on this|