• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Premeds w/ARNP chemo/MD

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
 
Top