sroller
New
Does any one have any good tips or resources for ESA therapy when it is done concurrently with another therapy plan? Specifically when it comes to facility billing. I work for an infusion clinic and we have a patient who gets a darb injection for MDS and also is receiving transfusions for anemia, chronic blood loss when parameters are met. Insurance is denying the darb since both D50.0 and D46.9 are on the facility claim. Honestly, just trying to understand the guidelines from CMS is hard enough but I have been tasked with doing provider education on the issue. I am trying to put the guidelines in simpler verbiage so it's easier to understand and also trying to come up with a flowsheet to provide as an educational resource in the clinic.
Any help would be greatly appreciated.
Any help would be greatly appreciated.