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Thread: Injection/Infusion Challenges in Observation

  1. #1

    Default Injection/Infusion Challenges in Observation

    AAPC: Back to School
    I'm looking for some ideas of how hospitals are handling the charging for Injections and Infusions that are given to the patient in Observation Status? Our nurses often do not know when a patient is Inpatient or Observation, and they do not charge for such injections/Infusions. However, if the documentation is provided we want to capture those charges for our Observation patients, but who will capture?? Unit clerks, Coding staff?? I don't think it is realistic to ask nurses to understand the already complex guidlines for Injection/Infusion coding? I would appreciate any thoughts or advice.

  2. #2


    At our hospital I code the infusions/injections for OBS patients. I am a coder in the HIM Dept. The trick to coding the infusions/injections is to get the nurses administering the infusions/injections to record start and stop times. Other than that, being the coder I have learned the coding guidelines, so it is easy for me to code them. The hospital began coding the infusions/injections because they had an audit before I started working there and the auditors told them they were losing thousands of dollars not coding them. I hope this helps!

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