Hospital Outpatient Infusion Services: 2020 Reimbursement & Compliance Update

Given the pervasiveness of infusion and injection services across virtually all care settings, you simply cannot afford recurring mistakes or omissions in your documentation, coding, and billing. From this popular webcast, you’ll gain essential knowledge to help protect and improve your revenue integrity.

A REVIEW OF KEY CHANGES AND TRENDS FOR 2020:

• Changes to APC payment methodologies under the Hospital Outpatient Prospective Payment System (HOPPS)
• Commercial payer trends, including discussion of "brown bagging" vs. "white bagging” drug supplies
• What Medicare, MACs and private payers are saying about documentation for drug administration charges

Clear, in-depth explanations, augmented by case examples and visual aids, addressing several areas of confusion and noncompliance, such as:

• What documentation is required to support outpatient injection and infusion codes, plus help with common EHR documentation challenges
• A close look at the physician order and nursing documentation; includes a quick-reference procedure chart to help identify essential elements
• Identifying and mitigating the potential risks associated with charges for prolonged infusions
• How to communicate with nursing staff about the importance of complete, high-quality documentation
• Guidance with properly documenting time increments for infusion services; includes answers to questions such as: “If a patient is receiving an IV infusion for hydration therapy and the stop time is not documented in the medical record, how should the service be coded?”
• How to handle the initial hour of infusion, additional hours of infusion and infusions over the midnight hour
• Avoiding hydration therapy pitfalls related to documentation, medical necessity, indications, limitations and more; includes clinical examples and links to additional background from Noridian, Medicare, the AMA, and other sources
• Conducting internal audits — tips for process improvements

Here’s what other attendees found most valuable about this webcast:

• Explanations of timing to support infusion codes and charges
• Information about hydration therapy coverage determination
• Guidance with when to use infusion codes for hydration or chemo
• Highly detailed information and knowledge of the presenter