caroline75771
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Hi All,
Does anyone have a link or reference guide that I can provide to our providers which clearly spells out an EM can only be reported with infusions & chemo when there is medical necessity. Our providers feel they're entitled to an EM reimbursement every time a patient is scheduled for these treatments without supporting medical necessity.
I don't know how else to convey to them that this is fraud.
I have two specialties, Renal and Hematology that won't change their codiing behavior and need some concrete guidelines to convince them.
Please help!!
Thanks you.
Caroline
Does anyone have a link or reference guide that I can provide to our providers which clearly spells out an EM can only be reported with infusions & chemo when there is medical necessity. Our providers feel they're entitled to an EM reimbursement every time a patient is scheduled for these treatments without supporting medical necessity.
I don't know how else to convey to them that this is fraud.
I have two specialties, Renal and Hematology that won't change their codiing behavior and need some concrete guidelines to convince them.
Please help!!
Thanks you.
Caroline