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We do infusion therapy for some of our patients, but instead of doing them in house they take their medications home with them so that it is cheaper. They are able to do their own infusions without the aid of a medical staff or facility. We are on the fence about how this should be billed out. Should there be a progress note made that the doctor signs off on every time the patient gets their infusion, or is it ok just to create a super bill and bill off of that since the patient isn't seen by a doctor? We are charging them for the medication that they get from us as a Buy and Bill.