A clear-cut pathway to correct charges and full compliance
For many coders, "infusion" means "confusion." Confusion over coding hierarchies and 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. Now there's a MedLearn book to help you put an end to the confusion, so you can code with complete confidence. This resource - unique to healthcare - walks you through the practical application of AMA and CMS coding and documentation guidelines for hospital outpatient infusion services. Highlights:
- Quick-reference format - divided into individual infusion services, from hydration through the various types of drug administration and chemotherapy
- Each chapter contains CPT/HCPCS and revenue center codes, 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 codes, based on the level of complexity
- Special assistance with problem areas, such as when you may assign chemotherapy administration codes based on the AMA's "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 services in the hospital setting
- Be prepared for infusion related RAC issues by knowing how to document for services provided.
Findings from MedLearn consulting experts
MedLearn consulting experts speak from their real-world experiences regarding the potential benefits of Coding Essentials for Hospital Infusion Services to healthcare organizations:
RAC auditors are taking aim - "Hospital outpatient infusion services are proving to be a primary target for scrutiny under the Recovery Audit Contractor (RAC) program. Specific areas of focus include billing units related to the first hour of hydration and drug administration. The guidance contained in our Coding Essentials book can equip hospitals to proactively address these and other potential RAC pitfalls."
CPT is a registered trademark of the American Medical Association
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