clopez
Networker
Hello,
Im currently auditing a practice where I'm seeing a trend in how IV infusion is being billed along with a separate E/M The reason for visit states IV infusion
the Exam is just vital signs and the MDM is Medications ordered for therapeutic infusion.
I don't agree with how they are billing because this looks more like a trend then medical necessity.
Are others seeing this type of trend and how do you address it to your providers.
Any reference tools used would be greatly appreciated, So far the reference I will use is Medicare claims processing manual Chapter 12 section 30.5
Thank you in advance
Im currently auditing a practice where I'm seeing a trend in how IV infusion is being billed along with a separate E/M The reason for visit states IV infusion
the Exam is just vital signs and the MDM is Medications ordered for therapeutic infusion.
I don't agree with how they are billing because this looks more like a trend then medical necessity.
Are others seeing this type of trend and how do you address it to your providers.
Any reference tools used would be greatly appreciated, So far the reference I will use is Medicare claims processing manual Chapter 12 section 30.5
Thank you in advance