SCCM Resource Library-Billing and Documentation Update 2023

Video Transcription

Video Summary

Debbie Greiner, a healthcare consultant, breaks down the key points and considerations for billing and documentation updates related to critical care services in this video. She emphasizes the importance of medical necessity in patient-practitioner encounters and the need for supporting documentation that justifies the level of service provided. Greiner explains the definition of critical care services, which involves managing critically ill or injured patients who are at high risk of impairing vital organ systems or experiencing life-threatening deterioration. She emphasizes that accurate documentation is essential to support the time spent providing critical care services, as the codes are time-based.<br /><br />Greiner also discusses split-shared visits, where both physicians and advanced practice providers (APPs) are involved in patient care. She explains that such visits are allowed in the hospital setting but not in the office setting. The video also touches upon the global surgical package and provides guidance on separately billing critical care services during the global period.<br /><br />Throughout the video, Greiner underscores the significance of detailed documentation that clearly explains the patient's condition, assessments, interventions, and management plans to substantiate medical necessity and appropriate billing. The video covers various scenarios and corresponding billing codes, as well as specific considerations for tele-ICU, post-operative patients, brain-dead patients, and neonatal and pediatric critical care. The rules for sharing critical care codes among providers in the same group are also addressed. Overall, the video provides valuable insights into billing and documentation practices for critical care services, highlighting the need for accurate and comprehensive record-keeping.

Asset Subtitle

Administration, 2023

Asset Caption

Understanding coding and documentation for critical care services is essential for professional coders, hospital administrators, advanced practice providers, and physicians. This webcast reviews coding rules for critical care services for both adult and pediatrics and the importance of documentation to support medical necessity for reimbursement. Expert faculty will also explore split/shared visits performed by physicians with advanced practice providers.

Meta Tag

Content Type Webcast

Knowledge Area Administration

Learning Pathway Billing and Documentation

Membership Level Select

Membership Level Professional

Tag Economics

Year 2023

Keywords

Debbie Greiner

billing

documentation updates

critical care services

medical necessity

supporting documentation

split-shared visits

global surgical package

detailed documentation

tele-ICU

pediatric critical care

Billing and Documentation

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