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Mitigate your risks and get paid correctly for infusion and injection services
Regardless of care setting, the delivery of infusion and injection services poses major challenges for anyone involved with coding, billing and compliance. For 2019 the difficulties are greater than ever. Our comprehensive resource contains the knowledge you need to mitigate your risks and get paid appropriately. It spells out exactly what the AMA and CMS require of your coding and documentation, wherever infusions and injections are provided, from the outpatient infusion and emergency departments to the observation and medical oncology settings.
Features and Benefits
- Updated and NEW information:
- Expanded guidance with conducting internal audit
- "White bagging" and "brown bagging" drug supplies, including documentation and modifier requirements
- The impact of smart pumps and other technologies on documentation
- Additional discussion of the required documentation for hydration therapy
- Step-by-step through coding and documentation for infusion and injection services in all care settings
- Comprehensive — covers a broad range of infusion/injection services, including hydration therapy, drug administration, injections and chemotherapy services, as well as blood collection, transfusions and other procedures; also includes a section on coding for drugs and biologicals
- Easy-to-understand overviews of coding systems, including ICD-10, modifiers, evaluation and management (E/M) services, medical necessity, local/national coverage determinations, audit targets and other critical topics
- Sections on specific services include:
- Descriptions of services with their corresponding current codes (CPT®, HCPCS, revenue center) and descriptions
- Explanations of intended code use
- Documentation requirements
- Tables displaying time increments for reporting services, where applicable
- Examples of drugs involved
o Billing tips
- Guidance with coding and billing in alignment with the Medicare move to site-neutral payments
- Case studies and examples, updated with new payment changes, to reinforce best practices
- Chapter with payment tables for physicians and hospitals
- Special help with common areas of confusion and noncompliance, such as:
- Documentation related to time, route, site and flushes for timed codes
- Billing for E/M services — a major area of focus for the OIG, RACs and other auditors
- Comprehensive APC (c-APC), for observation care
CPT® is a registered trademark of the American Medical Association.
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