rkott02
Guest
I need assistance with the following scenario, trying to determine the most appropriate way to bill.
We have a patient that had a Neulasta OnPro injector placed on 2/19/19 and it happened to malfunction (the patient actually received no drug)the device leaked, the subcutaneous cannula did not insert properly to inject the drug. She came back the following day 2/20/19 and we had to administer a Neulasta injection given the malfunction. Both administrations were documented on the MAR. How do we ensure that the patient is not charged for the injection that malfunctioned? Do we have to charge it twice?
We currently have a claim for 2/19/19 billing for both HB and PB.
HB claim includes J2505
PB claim includes 96377
We have not completed the coding for the 2/20/19 claim as of yet due to the confusion of what to bill on each claim. My assumption would be that we would have to write off the 2/19/19 claim due to the malfunction.
• Since the patient did not receive the medication, and since it was repeated on 2/20, how would this be handled on the billing end to ensure the patient does receive a bill for the repeat injection?
Any assistance is greatly appreciated!
Thank you!
We have a patient that had a Neulasta OnPro injector placed on 2/19/19 and it happened to malfunction (the patient actually received no drug)the device leaked, the subcutaneous cannula did not insert properly to inject the drug. She came back the following day 2/20/19 and we had to administer a Neulasta injection given the malfunction. Both administrations were documented on the MAR. How do we ensure that the patient is not charged for the injection that malfunctioned? Do we have to charge it twice?
We currently have a claim for 2/19/19 billing for both HB and PB.
HB claim includes J2505
PB claim includes 96377
We have not completed the coding for the 2/20/19 claim as of yet due to the confusion of what to bill on each claim. My assumption would be that we would have to write off the 2/19/19 claim due to the malfunction.
• Since the patient did not receive the medication, and since it was repeated on 2/20, how would this be handled on the billing end to ensure the patient does receive a bill for the repeat injection?
Any assistance is greatly appreciated!
Thank you!