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A clear-cut pathway to the correct charges and full
compliance
For many coders, infusion means confusion. Confusion
over infusion coding hierarchies. Confusion over the AMA's other highly
complex drug classification. The problem is, one instance of miscoding could
place your hospital at significant risk for lost revenue or overcharging. Its
time to put an end to the confusion, so you can code with complete confidence.
This MedLearn Publishing book, unique to healthcare, walks you through the
practical application of AMA and CMS coding and documentation guidelines for
hospital outpatient infusion therapy services. Highlights:
Tips for supporting medical necessity
and other compliance errors that may attract the scrutiny of RACs, the OIG,
and other agencies New information on billing
correctly for observation stays (i.e., over the midnight hour) and
billing for pharmaceuticals Quick-reference
format: divided into individual infusion therapy services, from
hydration through the various types of drug administration and
chemotherapy CPT codes for infusion, as
well as HCPCS and revenue center codes in each chapter, along with
explanation of intended use, billing tips, examples of drugs involved,
NCCI edits, and case studies Step-by-step
guidance through the assignment of primary and secondary infusion
codes, based on the level of complexity Special
assistance with problem
areas, such as when you may assign chemotherapy administration codes based
on the AMAs other highly complex drug classification Documentation
requirements, including those that are routinely missed (e.g., start
and stop times) An
excellent teaching tool for newer staff and a reference for anyone
involved with coding for outpatient infusion therapy in the hospital
setting Case
studies and clinical examples to enhance understanding in some of the
biggest areas of confusion
AN IDEAL RESOURCE FOR:
Any area that provides outpatient infusion services within the hospital,
including nursing floors and emergency departments
THE #1 REASON TO OWN
THIS BOOK:
Many hospitals are at
high risk for claim denials and auditor action, simply because staff do not
understand and apply the coding, billing, and documentation rules specific to
outpatient infusion therapy. This is not surprising, given the many potential
points of confusion, such as hierarchies for infusion codes, documentation
rules, patient transfers, and billable vs. non-billable services.
CPT is a registered trademark of the American Medical
Association.
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