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Billing and Documentation Update
Billing and Documentation
Billing and Documentation
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Video Transcription
Video Summary
In a recent webcast, David Carpenter of Emory Health Care discussed critical care billing and documentation updates, emphasizing Medicare's 2025 changes which include a nearly 3% reduction in payment conversion factors. Co-presenter Deb Greider detailed critical care billing specifics, highlighting the importance of accurate documentation to meet Medicare's stringent requirements. She explained that reporting critical care requires a minimum of 30 minutes of documented time for services like organ system support and interactions essential for patient management. She noted that non-critical time, like updating family members or documentation off the patient's unit, does not count towards this time. The guidelines differ between Medicare, which requires 104 minutes to add a 99292 code, and commercial payers needing 75 minutes. Both stressed the need for clear differentiation between non-critical E&M services and critical care within documentation. Key points include coding bundled with critical care, concurrent care billing, and split/shared visits between physicians and advanced practice providers. The webcast concluded with a Q&A session addressing various scenarios and their billing implications, underscoring the complexity of these guidelines.
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