Question:
From a claims perspective, what are some red flags when reviewing infusion and injection claims?
Answer:
Two areas to watch are:
- The total number of units reported – If more than one unit is reported, review the encounter to verify that the appropriate number of units have been charged.
- Use of modifiers – If modifiers are reported for an infusion, compare the line item to other charges on the claim to ensure appropriate modifier use.
This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.