Health Information Management

Time for an injections and infusions checkup

APCs Insider, January 25, 2013

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Certain topics in coding seem to be perennial problems even without major coding or regulatory changes. Injections and infusions is one of those trouble spots.

Some of the rules around coding for injections and infusions are confusing and counterintuitive. For example, the initial service is determined by a hierarchy and not based on when a drug was administered. In some cases, the last drug a patient receives is the one coded as initial.
Sometimes CMS doesn’t agree with CPT. In 2011, the CPT Manual included a guideline stating that if time-based services extend across the midnight hour and the services are interrupted, the provider should report an initial code for services on the second date of service. That CPT guidance conflicted with long-standing CMS instructions to hospitals regarding how they should report drug administration services. So what’s a coder to do?
Never fear, we have a solution. Jugna Shah, MPH, and Valerie Rinkle, MPA, will administer an injections and infusions booster shot of sorts with the Injections and Infusions: Review of Drug Administration Coding, Billing, and Charging for Hospitals live audio conference January 30.
Jugna and Valerie are injections and infusions experts who have years of experience on this topic. They know injections and infusions inside and out and have been presenting together for at least 10 years. They are fantastic speakers who always deliver an excellent program.
If you don't know them, Jugna is the president of Nimitt Consulting, based in Washington, DC. Valerie is vice president of revenue integrity informatics for Health Revenue Assurance Associates, Inc., in Plantation, Fla., and the former revenue cycle director for Asante Health System in Medford, Ore.
This year, Jugna and Valerie will:
  • Summarize the state of coding and APCs for injections and infusions
  • Review frequently asked questions
  • Offer tips for documenting in the electronic medical record and with computerized physician order entry
  • Provide tips and takeaways for monitoring and auditing claims internally
Be sure to join us for this annual injections and infusions checkup!
A quick note about last week’s Q&A. I accidentally failed to give Valerie credit for answering the question as well as Jugna.

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