Health Information Management

Pay-per-view: Injections and infusions continue to confuse coders

APCs Insider, June 22, 2012

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Consider this scenario: A physician orders three hours of hydration as well as a one-hour therapeutic antibiotic infusion for a patient. A nurse documents the hydration start time as 10 a.m. and the antibiotic start time as 11 a.m. Neither provider documents a stop time. What should coders report?

 
Without stop times, coders can't report much. An absence of start and stop times is one of the more frequent challenges that coders face when reporting injections and infusions, says Denise Williams, RN, CPC-H, vice president of revenue integrity services for Health ­Revenue Assurance Associates, Inc., in Plantation, Fla.
 
Continue reading “Injections and infusions continue to confuse coders”on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the June issue.



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