Lulu20
Contributor
- Messages
- 11
- Location
- Heppner, OR
I wanted to get input from other coders/professionals!
I work at a RHC , we have a community benefit where if a patient brings in their own medication the administration fee gets waived if that is all they are in for. There is discussion of doing a nurse narrative where the MA makes a note of how many injections given, where they are given, that the patient consents, THEN provider does their own chart note with all the documentation regarding how the patient did at their last injection, relevant exam, documentation explaining the serious side effects that could happen so patient needs to sit in the office for 30 mins to be monitored and then again be evaluated by provider at end of 30 min, further discussion on ER precautions and use of epi pen, These are all things that I believe are inherent to the 95115/95117. Can an office visit be billed since we are waiving the 95115/95117? I do not think so as that is why the patient was seen, and even though we are waiving the 95115/95117 doesn't mean we can bill the office visit, unless there is a reaction to the injection or maybe after the patient has been sitting there for awhile they are like HEY!!! since I am here can we talk about this or that( something totally unrelated). It would be.......... replacing a service we waived with another for reimbursement.
Any thoughts? or resources regarding this scenario?
I work at a RHC , we have a community benefit where if a patient brings in their own medication the administration fee gets waived if that is all they are in for. There is discussion of doing a nurse narrative where the MA makes a note of how many injections given, where they are given, that the patient consents, THEN provider does their own chart note with all the documentation regarding how the patient did at their last injection, relevant exam, documentation explaining the serious side effects that could happen so patient needs to sit in the office for 30 mins to be monitored and then again be evaluated by provider at end of 30 min, further discussion on ER precautions and use of epi pen, These are all things that I believe are inherent to the 95115/95117. Can an office visit be billed since we are waiving the 95115/95117? I do not think so as that is why the patient was seen, and even though we are waiving the 95115/95117 doesn't mean we can bill the office visit, unless there is a reaction to the injection or maybe after the patient has been sitting there for awhile they are like HEY!!! since I am here can we talk about this or that( something totally unrelated). It would be.......... replacing a service we waived with another for reimbursement.
Any thoughts? or resources regarding this scenario?