Are you coding for infusions/injections for cancer patients on the same day as an Evaluation and Management (E/M) Service? Are you certain all your services rendered are supported from a medical necessity perspective? Should these services be audited to ensure compliance? If you have asked any of these questions, this presentation is for you! These issues highlight the complexities and importance of accurate and compliant coding practices in oncology care.

Join expert Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, as she answers your questions by delving into real-life examples of both good and mediocre documentation practices supporting coding for an E/M on the same day as a cancer infusions/injection. You’ll also learn what should be documented to support coding for all services rendered and understand whether the place of service is a factor in determining coding. Additionally, medical necessity requirements that must be met for reimbursement of these services will be thoroughly explained. By attending, you will be equipped to educate providers on appropriate documentation for E/M’s on the same day as an oncology infusion or injection, determine medical necessity for all services rendered, and feel confident in your coding to maintain compliance objectives.

Why This Is Relevant:

Providers often see oncology patients on the same day as their infusion or injection, raising important considerations for compliance and coding. The E/M service must meet medical necessity for the visit, and the place of service can determine what can and cannot be coded on the same date. Deciding whether these patients should be seen on separate days is another crucial factor. These circumstances contribute to the complex coding and compliance challenges that professionals face daily.  Accurate and timely reimbursement relies on precise coding and thorough documentation, making this knowledge essential for optimizing revenue and maintaining compliance.

Learning Objectives:

• Understand medical necessity requirements for reimbursement of E/M and cancer infusions/injection services
• Learn how to apply Modifier 25 appropriately
• Navigate infusion/injection services on the same day as a face-to-face visit with the physician/NPP
• Assign diagnoses to support all services rendered
• Utilize documentation examples to assist with education

Who Should Attend:

Coders, Providers, Auditors, Compliance Professionals, Revenue Cycle Professionals