Publisher's Synopsis
A clear-cut pathway to the correct charges and full compliance For many coders, infusion means confusion. Confusion over coding hierarchies. Confusion over the AMAs other highly complex drug classification. The problem is, one instance of miscoding could place your hospital at significant risk for lost revenue or overcharging. Its time to put an end to the confusion, so you can code with complete confidence. This MedLearn Publishing book, 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 AMAs other highly complex drug classification * Documentation requirements, including those that are routinely missed (e.g., start and stop times) * A focus on medical necessity and other areas potentially under scrutiny by Recovery Audit Contractors (RACs) * An excellent teaching tool for newer staff and a reference for anyone involved with coding for outpatient infusion services in the hospital setting * New and revised codes for 2013 * Case studies and clinical examples to enhance understanding in some of the biggest areas of confusion * Tips for supporting medical necessity * Pointers for staying on top of key compliance issues, such as time, route and flushes; high-risk drugs; and single vs. mixed solutions CPT is a registered trademark of the American Medical Association.
