SCCM Resource Library-Billing and Documentation Update 2022

Video Transcription

Video Summary

This video focuses on the billing and documentation guidelines for critical care services in 2022. The speaker, Debra Greider, explains that medical necessity for critical care services is determined by specific criteria, including reasonableness, necessity, and medical appropriateness. She emphasizes that critical care services are for critically ill or injured patients with a high probability of imminent or life-threatening deterioration. They require high complexity decision-making and may involve the treatment of vital organ failure or the prevention of further deterioration.<br /><br />Greider discusses that critical care services should be billed based on time, with CPT codes 99291 and 99292 used for different time increments. Additionally, she explains the concept of split-shared visits, where both a physician and an advanced practice provider (APP) participate in the care of a patient. The physician bills for the substantial portion of the visit, while the APP bills at 85% of the allowed amount.<br /><br />The speaker provides examples of when to bill critical care services outside of the global period of a surgical procedure. Detailed documentation is highlighted as crucial to support the medical necessity of critical care services.<br /><br />In another video, coding for critical care services in 2023 is discussed. The speaker emphasizes the use of medical decision-making and time as criteria for selecting the appropriate level of service. Accurate documentation is stressed, and various scenarios are provided as coding examples. The video also covers guidelines for reporting prolonged service codes and the use of modifiers in billing. Differences between critical care and non-critical care coding are highlighted, along with tips for improving documentation to support billing accuracy.<br /><br />Overall, these videos serve as helpful resources for healthcare providers navigating the complexities of coding and documentation for critical care services.

Asset Subtitle

Administration, 2022

Asset Caption

Overview of billing and documentation changes coming in 2023. This is an essential update for professional coders, hospital administrators, physicians, nurse practitioners, and physicians. The webcast covers coding rules for critical care services, evaluation and management (E/M) hospital services, and the importance of detailed supporting documentation for reimbursement. Experts also review split/shared visits performed by physicians with advanced practice providers.

Meta Tag

Content Type Webcast

Knowledge Area Administration

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Billing and Documentation

Membership Level Professional

Membership Level Select

Tag Economics

Year 2022

Keywords

billing

documentation

critical care services

2022

medical necessity

high complexity decision-making

vital organ failure

time-based billing

CPT codes

split-shared visits

global period

medical decision-making

2023

prolonged service codes

Billing and Documentation

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.