SCCM Resource Library-Billing and Documentation Update 2024

Video Transcription

Video Summary

The webcast focuses on updates in billing and documentation for critical care services. Deb Greider, a respected coder and author, highlights that while some guidelines remain unchanged, there are a few important updates. The Medicare Physician Fee Schedule is reducing the payment conversion factor by 2.93% in 2025. Critical care has been closely monitored due to high improper payment rates and challenges in documentation compliance. The presentation covers Medicare and commercial payer billing, emphasizing proper documentation, time management, and coding requirements. Discussions include when critical care coding is appropriate, challenges with billing during a global surgical package, and proper use of modifiers like FS for split/shared services between physicians and advanced practice providers. Special cases such as continuous care past midnight and concurrent care from different specialties are also discussed. The webcast includes interactive cases illustrating when to apply critical care coding and general E&M codes. Questions about Medicaid billing, specific procedural codes, and time documentation provide further clarification on the nuanced billing environment for critical care services.

Asset Subtitle

Administration, 2024

Asset Caption

This webcast is essential for coders, administrators, providers, and physicians. It covers coding rules for adult and pediatric critical care services, with a strong emphasis on the importance of thorough documentation to ensure medical necessity and secure reimbursement. Expert faculty details split/shared visits by physicians and advanced practice providers, using case studies to highlight key points.

Learning objectives:
Recognize how medical necessity is the driving factor in supporting critical care services.
Explain split/shared visits in critical care and hospital services with required documentation and modifiers to support the visit.
Recognize how documentation impacts reimbursement for critical care visits.

Meta Tag

Content Type Webcast

Knowledge Area Administration

Membership Level Professional

Membership Level Select

Tag Economics

Year 2024

Keywords

Webcast

Administration

Economics

Professional

Select

2024

critical care services

billing updates

documentation compliance

Medicare Physician Fee Schedule

coding requirements

global surgical package

FS modifier

concurrent care

Medicaid billing

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