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Auditing has many proven benefits for providers. Audits can help identify gaps, inconsistencies, and areas of risk not previously seen. In particular, weaknesses in charge capture of drug administration services and overlooked revenue opportunities are key reasons for putting together an audit practice. Historically, many professionals have defaulted to billing
Drug administration charge capture is an important aspect to review when it comes to infusion services, considering that drug administration is a significant component of many patients’ treatment and care. Coding an observation encounter (including when a patient may have arrived through the Emergency Department [ED] and been placed in
IV hydration therapy is a key service where documentation remains a serious concern in terms of compliance. A recent Targeted Probe and Educate (TPE) review exposed the importance of conducting internal documentation review and providing crucial education for correct coding. By looking at some of the conclusions, CPT coders and
If an IV antibiotic was administered but the MAR only contains the time the infusion started, can we charge for an IV push?
What is the difference between concurrent and sequential infusions?
What time can be used for infusion stop if the patient is in the clinic and has a negative reaction requiring inpatient admission?
We have a patient who received 3 hours of IV hydration. During that time, the patient received 2 different drugs by intravenous push. Can the entire 3 hours of IV hydration be coded with the intravenous push injections?
How would we bill the concurrent IV administration of one chemotherapy drug and one non-chemotherapy when the drugs are given with separate bags at the same site?
What is the difference between oral hydration and intravenous hydration therapy?
When it comes to subcutaneous infusion services, there are a few key codes worth examining for accurate reporting. In 2008 the AMA introduced three new CPT® codes for the subcutaneous infusion of therapeutic or prophylactic substances. This method of administration is more commonly encountered in home infusion therapy services rather
If an infusion is stopped because the patient is having an adverse reaction to a drug, can we still charge for the infusion?
Can you charge an XS modifier with IVP drug administration codes?
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