Are your IV hydration charges fully supported? Though low cost, and considered to be of low complexity, risk associated with IV hydration is on the rise and CPT® codes 96360 and 96361 for hydration administration are currently under review by recovery auditors. The culprit? Frequently cited issues related to documentation, or lack of supporting documentation, of medical necessity. It's never been more important to ensure all staff responsible for coding and charge capture fully understand the criteria for submitting charges for reimbursement of IV hydration and, perhaps more importantly, when not to charge separately for the administration of fluids.
In this webcast, leading expert Robin Zweifel will discuss IV hydration from end to end, ensuring all staff is on the same page regarding guidelines for documentation, illustrating applicable rules for coding hydration therapy as a primary or secondary service through decision tree logic. Case study review will apply rules and guidelines through clearly differentiated scenarios that support, and that do not support, charging for IV hydration.
The frequency with which charges are submitted lacking documentation make for a perfect audit target – let us help you identify common risk factors and minimize risk from the start.
What's on the agenda:
- Thorough guidance through industry guidelines for documentation, coding, and billing of hydration therapy including:
- Proper usage of hydration therapy CPT codes – when to charge for hydration, when not to charge for hydration
- Calculation of time increments for hydration
- HCPCS associated with hydration therapy
- Overview of the recovery audit focus on hydration therapy
- Understanding common risk factors associated with hydration therapy coding and strategies to minimize those risks
- Key phrases, signs, and symptoms to look for in documentation supporting medical necessity for hydration therapy
- Walk-through of IV hydration from the initiation of the IV to how the information is populated on the claim with an explanation of how different circumstances impact the claim throughout the lifecycle i.e., how the pharmacy charges for the fluid
- Real-life case examples that clearly differentiate scenarios that support billing of hydration therapy and scenarios that do not
- Answers to attendee questions (time permitting)
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