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Coumadin Clinic question

  1. #1
    Default Coumadin Clinic question
    Medical Coding Books
    The nurses in the Coumadin Clinics take many calls each day from home health agencies who are in the home and doing finger stick INRs. They then have to give guidance to the home health nurse regarding dose changes, as well as ask questions related to diet, medications, etc when regulating the dose. Is there a way that we can bill for these interventions? Any guidance is appreciated. Thanks in advance.
    Peggy Y, Green, CPC, CPMA, CPC-I, CRC
    "To love what you do and feel that it matters - how could anything be more fun?" Katharine Graham

  2. #2
    Default
    Hi Peggy,

    I would recommend calling Medicare to see if this is something that can be done. Are you obtaining any reimbursement from the Home Health Agency for performing the services?

    Thanks
    Amy Pritchett,
    BSHA, CPC, CPMA, CPC-I, CDEO, CANPC, CEDC, CASCC, CRC, CMDP, CMPM, CCS, CMRS, C-AHI, ICDCT-CM, ICDCT-PCS
    2017-2018 Secretary of Local Mobile AAPC Chapter
    2015-2016 President of Local Mobile AAPC Chapter

  3. #3
    Location
    Columbia, MO
    Posts
    12,913
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    When say nurse are you referring to RNs? An RN cannot make dosage changes she can relate provider information, and this is not reimbursable with any code at this time. This is encompassed with care plan over site codes, you should look at those if your provider is not currently documenting care plan over site.

    Debra A. Mitchell, MSPH, CPC-H

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