Healthicity Blog

Q1: Can a physician and an NPP of the same specialty and the same group are both bill critical care code 99291 if documenting the critical time for the patient?

Just as we humans rely on our heart to keep ticking, any compliance program worth its salt relies on an effective audit plan to maintain organizational compliance.

For fun, let’s take a short quiz. Would you say that the following scenarios would be coded as a new or established patient?

Over 1,000 coding, auditing, compliance and healthcare executives contributed to our 2018 Compliance and Auditing Benchmark report.

For the last couple months we've been busy preparing our annual survey report, The Compliance and Auditing Benchmark Report for 2018.

EXAMPLES OF MODIFIER 59 ERRORS

Your organization is losing money. The OIG HHS reported that nearly 42% of Medicare claims for E/M services are incorrectly coded resulting in $6.7 billion in overpayments.

Auditing for critical care is confusing and takes some serious detective skills. Sherlock anyone?

I have over 30 years’ experience in the healthcare industry. During that time, I’ve experienced workplace stress, boredom, frustration and a whole host of other challenges.