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Concurrent Session-Calusa 1-6

The Essentials to Critical Care Billing - "Show Me the Money"

Friday, October 10, 2025
2:00 PM - 2:45 PM East Coast USA Time
Location: Calusa 1-6
Disclosure(s):
Patrick C. Cullinan, DO, FACOI: No financial relationships to disclose
Centers for Medicare & Medicaid Services Internet Only Manual, Publication 100-04, Claims Processing Manual, Chapter 12, Sections 30.6.9 & 30.6.12 (A-J).

CY 2022 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies.

CMS Transmittal 11181 Pub 100-04 Medicare Claims Processing Manual, Jan. 14, 2022.

CMS Transmittal 11195 Pub 100-04 Medicare Claims Processing Manual, Jan. 20, 2022.

Gorder, K., MD (2024). Critical Care Billing and Coding Review and Updates for 2024. ACEP.

Learning Objectives:

  • Summarize what comprises critical care
  • Contrast what is and is not included in critical care billing
  • Articulate what is necessary when billing critical care