Critical Care Rules: How to Follow, Document & Bill Correctly

Your Expert Presenter

Kim Garner Huey, CPC, CCS-P, CHCC

Kim Garner Huey, CPC, CCS-P, CHCC, is an independent coding and reimbursement consultant in Auburn, Ala., providing client training, auditing and oversight of health care coding. Huey is an approved coding instructor for the AAPC Professional Medical Coding Curriculum. For more than 20 years, Huey has worked with providers in virtually all specialties, from cardiology to general surgery, obstetrics/gynecology, oncology, internal medicine, and more.

BMSC Approved CEUs

The Board of Medical Specialty Coding has approved 1.5 continuing education units for this Webinar. (ACS or SCP)

More Information and CEU FAQs

Ensure you bill critical care correctly to get paid

Getting paid for high-value critical care services has always required intense physician work and strict adherence to Medicare’s billing guidelines, which can be confusing and spotty.

Two years ago, CMS consolidated the critical care rules scattered throughout many transmittals into one comprehensive policy that completely replaces an entire section of the Medicare Claims Processing Manual (Chapter 12, section 30.6.12). But denial rates show that even this updated policy contains confusing language and unanswered questions. Every mistake is costly – failure to correctly document critical care services can cost your practice $100 or more per patient visit.

Don’t lose money because CMS published baffling rules, which were designed to make reimbursement easier! Let our expert presenter and veteran coder, Kim Garner Huey, CPC, CCS-P, CHCC, guide you through the trickiest critical care scenarios and how to improve your billing and coding process and get paid, every time.

In this 90-minute webinar, Kim will cover everything you need to know about the new critical care rules, including:

• Critical care time and group practices. How should you bill critical care when two physicians of the same specialty from your practice both provide service? When can they combine their time? What if they’re from different specialties? Get the answer to each of these questions (and have an opportunity to ask your own) so you understand every possible variation of these complex scenarios.
• Physicians vs. NPPs. Get the final word on how to code and bill critical care when physicians and NPPs treat the same patient. Master this gray area so you can ensure ALL your providers get paid for every minute of their time.
• Documentation requirements. A recent rule requires you to document how you met criteria needed to count family discussion time as critical care time – and that’s just one example of what’s new. Find out why documentation is more important than ever for full payment.
• Easy-to-grasp examples. Not only will Kim review each and every example CMS includes in the most recent critical care section of the Claims Processing Manual, she’ll offer her own examples to illustrate the key changes that accompany the most challenging rules.