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QuickPoll Archive for Revenue Cycle

Part B rebilling

MAY 1, 2014

Have you carved out discrete nursing procedures, described by CPT® codes (e.g., infusions and injections, blood administration, and nebulizer treatments), from your room and board rates?

  • 66%
    : Yes, we've carved them out and are dropping CPT codes and charges on Part B 12x claims and are receiving APC/OPPS payment.
  • 25%
    : No, we have not carved discrete nursing procedures out of our room rate and we are not dropping charges for these types of procedures. We submit a no-pay Part B 12x claim for which we receive no separate APC/OPPS payment.
  • 8%
    : No, we have not carved them out, so we remove the room rate and add applicable charges and CPT codes for various discrete nursing procedures (e.g., infusions and injections) to our Part B 12x claims and are receiving APC/OPPS payment.

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