• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Premeds w/ARNP chemo/MD

Create Wiki
W

Wendy CPC

Contributor
Messages
12
Location
Spokane, WA
Best answers
0
We had a patient started with premeds with no MD onsite, only ARNP. MD arrived and we administered the chemo (same IV as premeds). My thought is to bill the entire infusion (premeds and chemo) under the ARNP. Biller is splitting the premeds under the ARNP, chemo under MD, which causes the premeds administration (96375) to be on it's own claim, therefore being denied for "no initial administration" since the initial code is on the MD claim. This is a Premera Blue Cross pt. Is there a written guideline on this? Thanks in advance
 
You must log in or register to reply here.
Top