Auditing Injections and Infusions

Event Information
Product Format
Prerecorded Event
90 Minutes
Product Description

'Successful + Profitable' Coding and Billing for Injection and Infusions Starts Here!

Our expert Duane C. Abbey, will present a power packed audio conference designed for auditing, coding and clinic staffs that are involved in reviewing for the accuracy of documentation, coding and billing for injections and infusions. Clinical documentation and the associated charge capture along with possible coding through charge capture will be discussed as compliance issues. Duane will also throw light on the compliance issues relative to charging and billing including the ED and observation services.

Here are a few topics covered in the session:

  • Review the CPT coding logic and directives for injections, infusion therapy and chemotherapy.
  • Examine the documentation that is required to justify drug reporting as well as the administration of drugs, both clinically and for appropriate reimbursement.
  • Identify essential policy as well as procedure elements in the use of the injection and infusion CPT codes.
  • Discuss the difficulties for injections and infusions in observation.
  • Appreciate various approaches for charge capture and related coding and billing through charge capture.
  • Know the potential reimbursement for injections and infusion therapy under APCs.
  • Appreciate the value of auditing activities for compliance and process change.
  • Explore related issues such as 'integral-part' and 'not to be reported separately' compliance guidance from CPT and CMS.
  • Address injection as well as infusion coding guidance as established in the NCCI coding policies.
  • Overview
    • Injections
    • Hydration
    • Infusion Therapy
    • Chemotherapy
    • Ongoing Changes for Codes and Coding Directives
    • Conducting Audits
    • Qualified Health Care Professionals Concept
  • Documentation of Drug Administration
    • What Must Be Reported
    • Drug Administration Documentation
    • Drug Wastage and Disposal
    • Special Requirements for Observation
  • Charging/Coding/Billing Issues
    • Capturing Charges
    • Coding Through Charge Capture and the Chargemaster
    • Alternative Approach for Charge Capture and Coding
    • Reimbursement Potential
  • Review of CPT Coding Logic
    • CPT Coding Structure
    • Logic Embedded in CPT Codes
    • CPT Coding Guidance
      • Hospital Coding - Hierarchy
      • Physician Coding – Initial, Subsequent, Sequential
  • Compliance Issues
    • Start and Stop Time Reporting for Infusions
    • Charging versus Reporting versus Bundling
    • NCCI Edit Coding Guidelines
    • Injections and Infusions in the ED
    • Injections and Infusions In Observation
    • Injections and Infusions in Surgery
  • Case Studies and Exercises
  • Sources for Further Information

Who should attend? Auditing Staff, Compliance Personnel, Nursing Staff, Clinical Service Area Staff, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Case Managers, Physicians and Other Interested Personnel

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
More Events By The Speaker

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