With Critical Care codes being time based can the provider document Critical Care time and that plus the medical necessity evidenced by the diagnosis be enough to constitute Critical Care? Is the fact that they ordered intervention (labs/tests/intubation/etc) enough to show the intervention or does a provider need to word by word document what they did and why they did it in addition to their time documentation?
Looking for different thoughts on this subject in regards to an ED provider. Thanks!
Looking for different thoughts on this subject in regards to an ED provider. Thanks!