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How To Avoid Medicare Denials for Critical-Care Billing

The Hospitalist. 2013 October;2013(10):

References

  1. Cahaba Government Benefit Administrators LLC. Widespread prepayment targeted review notification—CPT 99291. Cahaba Government Benefit Administrators LLC website. Available at: https://www.cahabagba.com/news/widespread-prepayment-targeted-review-notification-part-b/. Accessed May 4, 2013.
  2. First Coast Service Options Inc. Prepayment edit of evaluation and management (E/M) code 99291. First Coast Service Options Inc. website. Available at: https://medicare.fcso.com/Medical_documentation/249650.asp. Accessed May 5, 2013.
  3. Centers for Medicare and Medicaid Services. Medicare Claims Processing Manual: Chapter 12, Section 30.6.12A. Centers for Medicare and Medicaid Services website. Available at: https://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf. Accessed May 5, 2013.
  4. Centers for Medicare and Medicaid Services. Medicare Claims Processing Manual: Chapter 12, Section 30.6.12B. Available at: https://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf. Accessed May 5, 2013.
  5. Centers for Medicare and Medicaid Services. Medicare Claims Processing Manual: Chapter 12, Section 30.6.12E. Centers for Medicare and Medicaid Services website. Available at https://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf. Accessed May 6, 2013.
  6. Abraham M, Ahlman J, Boudreau A, Connelly J, Levreau-Davis L. Current Procedural Terminology 2013 Professional Edition. Chicago: American Medical Association Press; 2012.
  7. Novitas Solutions Inc. Evaluation & management: service-specific coding instructions. Novitas Solutions Inc. website. Available at: https://www.novitas-solutions.com/em/coding.html. Accessed May 7, 2013.
  8. United Healthcare. Same day same service policy—adding edits. United Healthcare website. Available at: https://www.unitedhealthcareonline.com/ccmcontent/ ProviderII/ UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/News/Network_Bulletin_November _2012_Volume_52.pdf. Accessed May 7, 2013.
  9. Centers for Medicare and Medicaid Services. Medicare Claims Processing Manual: Chapter 12, Section 30.6.12I. Centers for Medicare and Medicaid Services website. Available at: https://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf. Accessed May 10, 2013.
  10. Centers for Medicare and Medicaid Services. Medicare Claims Processing Manual: Chapter 12, Section 30.6.12G. Centers for Medicare and Medicaid Services website. Available at: https://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf. Accessed May 4, 2013.