Tuesday, April 7
In both the physician office and hospital outpatient setting, infusible drug amounts are billed on the claim form as "units." For established drugs (those having a drug specific HCPCS code) the number of units is determined by the HCPCS descriptor for the drug being billed. The OIG and RAC auditors continue to examine claims for billing errors. Compliance with these complicated billing requirements is a never-ending issue that providers must monitor to ensure correct revenue and avoid investigations.